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14 Cards in this Set
- Front
- Back
What is the first sign of puberty in girls? First sign in boys? and when?
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Girls: growth spurt, begins at 9yo and peaks between 11.5 and 12yo
Boys: first sign is scrotal and testicular growth, begins at 10-12 years of age |
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When does the male growth spurt usually begin?
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11yo and peaks at 13.5 yo
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Breast Development - Stages
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I - Preadolescent
II - Breast bud (11yo) III - enlargement, no contour separation (12yo) IV - Secondary mound, projection of areola and papilla (13yo) V: Mature, 15yo |
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PH development - ages
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I - preadolescent
II - sparse, downy, straight G(12), B(13.5) III - dark, coarser, more curled G(12.5), B(14) IV - hair resembles adult, not to medial thighs G(13), B(14.5) V - mature, G(14.5), B(15) |
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Gonadal Dev Male - stages
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I - preadolescent
II - enlargement of scrotum and testes, darkening of scrotum and texture changes (12yo) III - Enlargment of penis (13yo) IV - increase in penis breadth and dev of glans (14yo) V - Mature stage (15yo) |
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Cholesterol Screening - Indications
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+ FHx including hyperlipidemia (>240), h/o MI, angina, PVD, CVD, sudden cardiac death, documented coronary atherosclerosis <55yo
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Primary Amenorrhea - definition
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absence of menses by 16yo
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Causes of Primary Amenorrhea
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1. Chromosomal
2. Congenital Outflow Tract Obstruction (vaginal septum,imperforate hyman) 3. Hypothalamic dysfunction (abnl GnRH secretion, no LH surge) 4. CNS tumors: prolactinoma, craniopharyngioma, dysgerminoma, Langerhans cell histiocytosis (s/s: HA, visual field defects) 5. Ovarian: Includes primary ovarian failure, PCOS 6. Endocrine: virilization disorders (CAH, Cushings Sy) 7. Physiologic delay of puberty 8. pregnancy |
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Male Puberty in Order
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1. Testicular Volume
2. Penile enlargement 3. Growth spurt |
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Female Puberty in Order
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1. Thelarchy
2. Pubarchy 3. Growth Spurt 4. Menarchy boobs, pubes, spurt, squirt |
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Delayed Puberty Definition Males, Females
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Males:
- no change in testes size by 14 Females: - no changes by age 13 - no menses by 16 Both: >4-5 years from start to finish |
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Minors may give consent for their own medical care if...
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1. they are living apart from their parents
2. are themselves the parent of a child 3. are in the armed services 4. if they are > or = 15yo, are "mature minors" can give informed consent for care including low risk procedures 5. any age can consent for HIV and STD testing/treatment, sexual health 6. ok to give consent at any age for treatment of substance abuse |
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Definition of primary amenorrhea = absence of menses by
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16 years of age
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Chromosomal anomalies associated with amenorrhea
1. complete androgen insensitivity syndrome (46 XY) |
Defect: testosterone resistance 2/2 an androgen receptor defect.
Anatomy: phenotypic female; testes are present; no upper tract female structure; THELARCHE BUT NOT ADRENARCH at puberty Labs/Tx: High serum testosterone. Pelvic ultrasound shows absence of upper vagina, uterus, and fallopian tubes. Excise testes dt increased testicular cancer risk. |