Growth and Pubertal Disorders - Micro and macrocephaly, Short and tall stature, Early and delayed puberty Flashcards
(51 cards)
1
Q
Phases of normal human growth
Factors influencing each phase of growth
A
2
Q
Height velocity over age
A
3
Q
Measurement of growth
A
4
Q
Normal head growth rate
A
5
Q
Macrocephaly
Causes
A
6
Q
Microcephaly
Causes
A
7
Q
Types of abnormal head shapes
A
8
Q
Causes of abnormal head shape
A
9
Q
Craniosynostosis
Definition
Classification
Tx
A
10
Q
Factors affecting final adult height
A
11
Q
Typical height at diff ages
A
12
Q
Normal variants of short stature
A
13
Q
Features of pathological short stature
A
14
Q
Pathological causes of short stature
A
15
Q
Ddx dysmorphic short stature
A
16
Q
Ddx dysproportionate short stature
A
17
Q
Ddx short and thin
A
18
Q
Ddx short and fat
A
19
Q
Approach to short stature
A
20
Q
Short stature
P/E
A
21
Q
Short stature
Investigations
A
22
Q
Short stature
Treatment
A
23
Q
Tall stature
Causes
A
24
Q
Tall stature
Ix
Tx
A
25
Physiology of hormonal mechanism of puberty
26
Normal physiological functions of GnRH
27
Regulators of pubertal development
28
Sequence of pubertal development in female
28
Sequences of pubertal development in male
29
Breast development in male during puberty
Cause
30
Tanner stage
Pubic hair stages
PH1 – pre-pubertal
PH2 – sparse growth of long, slightly pigmented hair, straight or curled at base of penis or along labia
PH3 – darker, coarser and more curled hair spreading sparsely over junction of pubes
PH4 – adult in type but covering smaller area, without spread to medial surface of thigh
PH5 – adult in type and quantity with horizontal upper border
31
Tanner staging
Breast stages
B1 – pre-pubertal
B2 – breast bud stage with elevation of breast and papilla, enlargement of areola
B3 – further enlargement of breast and areola, no separation of their contour
B4 – areolar and papilla form a secondary mound above level of breast
B5 – mature stage with projection of papilla only related to recession of areola
32
Tanner staging
Genitalia stages
33
Precocious puberty
Definition
Types and features
34
Isolated thelarche
Definition
Features
Ix
35
Isolated adrenarche
Causes
Features
Ix
36
Isolated menarche
Causes
Clinical features
Ix
37
Primary hypothyroidism
Features
38
Central precucious puberty
Causes
39
Peripheral precocious puberty
Causes
40
McCune Albright syndrome
Pathophysiology
Clinical presentation
Diagnosis
41
Familial testotoxicosis
Pathophysiology
Clinical presentation
Treatment
42
Approach to precocious puberty
43
Precocious puberty
Investigations
44
Compare CPP, PPP, Normal variant of early puberty
45
Approach to male precocious puberty by testicular size
46
Approach to female precocious puberty by breast and pubic hair
47
Central precocious puberty treatment
48
Peripheral precocious puberty
Treatment
49
Delayed puberty
Definition
Causes
50
Delayed puberty
Management