PRIMER TO PRECOCIOUS PUBERTY
•
1 like•304 views
This document provides an overview of precocious puberty, including its definition, classification, and causes. Precocious puberty is defined as the onset of puberty more than 2 standard deviations earlier than normal. The mean age of pubertal onset is 10.5 years for girls and 11.5 years for boys, with 1 standard deviation being approximately 1 year. Precocious puberty can be classified as benign/non-progressive variants, central precocious puberty, or peripheral precocious puberty. Benign variants include premature thelarche, premature adrenarche, and isolated premature menarche.
Report
Share
Report
Share
Recommended
Precocious Puberty
Precocious puberty refers to the onset of sexual maturation before age 8 in girls and age 9 in boys. Common signs in girls include breast development, pubic hair growth, growth spurts, and menstruation. In boys, signs are enlargement of the testes or penis, pubic hair growth, growth spurts, and voice deepening. The causes can include brain injuries, infections, thyroid issues, or primary sex organ abnormalities. Treatment involves lowering sex hormone levels with medications like LHRH to stop further sexual development. Supporting the child emotionally is also important.
A young boy with signs of puberty
This case discusses a 7-year-old boy presenting with early signs of puberty over the past 5-6 months. Laboratory tests showed elevated levels of testosterone, LH, and FSH, confirming precocious puberty. A GnRH stimulation test showed an LH spike, indicating central precocious puberty. The patient was diagnosed with idiopathic central precocious puberty and prescribed injections of Decapeptyl to delay further pubertal progression until age 11 in order to avoid short adult stature. The document discusses evaluation and management of precocious puberty.
Precocious
Precocious puberty is an early onset of sexual maturation, usually defined as beginning before age 8 in girls and age 9 in boys. It can be caused by genetic factors or physical abnormalities affecting the hypothalamus or other parts of the hormonal system. Symptoms in girls include breast development and menstruation, while boys experience genital growth and facial hair. Treatment aims to stop further sexual development using drugs that block hormone production.
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
This document discusses delayed puberty in adolescent girls. It begins by outlining normal pubertal development and defining delayed puberty. Delayed puberty is then classified into three categories: hypergonadotropic hypogonadism (43%), hypogonadotropic hypogonadism (31%), and eugonadism (26%). For evaluation and management, the document recommends obtaining a history, physical exam, initial labs (TSH, prolactin), and a progestational challenge to determine gonadotropin levels and identify underlying causes. Treatment strategies aim to correct the underlying pathology, prevent disease complications, and provide sex steroids.
Disorders of puberty.pptx 2
The document discusses various topics related to puberty, including definitions of key terms, the normal sequence and timing of pubertal changes, causes and treatment of precocious and delayed puberty, and case studies. Precocious puberty can be true/idiopathic, due to tumors or other medical issues, or pseudopuberty caused by medication or conditions like premature adrenarche. Delayed puberty may be due to constitutional delay, medical issues impairing the HPA axis, or prior treatments like radiation therapy. Evaluation and management depends on the underlying cause and aim to initiate puberty normally or replace missing hormones.
Precocious Puberty
Precocious puberty refers to the onset of puberty before age 8 in girls and age 9 in boys. It can be caused by central activation of the hypothalamic-pituitary-gonadal axis or peripheral problems affecting the ovaries, testes or adrenal glands. Treatment typically involves suppressing early hormone production through GnRH analogues to delay puberty and allow for normal adult height. Parents can help children cope by educating them about the changes, monitoring for emotional impacts, and offering praise and support through participation in other activities rather than focusing on appearance.
Precocious puberty ppt
Precocious puberty refers to the early onset of sexual maturation before 8 years in girls and 9 years in boys. It can be classified as true precocious puberty, which is GnRH-dependent, or pseudoprecocious puberty, which is GnRH-independent. Evaluation involves physical exam, lab tests, imaging and bone age assessment. Treatment depends on the type but may include GnRH analogues to suppress early puberty.
Precocious puberty
This document discusses precocious puberty, defined as the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. It describes the different types (true/central, pseudo/peripheral, mixed), potential causes including brain lesions, hypothyroidism, and tumors, signs and symptoms, diagnostic tests, and treatment which typically involves GnRH agonists. Specific conditions discussed in more detail include hypothalamic hamartomas, hepatoblastoma, McCune-Albright syndrome, and familial male precocious puberty. Incomplete forms of precocious puberty like premature thelarche and adrenarche are also summarized.
Recommended
Precocious Puberty
Precocious puberty refers to the onset of sexual maturation before age 8 in girls and age 9 in boys. Common signs in girls include breast development, pubic hair growth, growth spurts, and menstruation. In boys, signs are enlargement of the testes or penis, pubic hair growth, growth spurts, and voice deepening. The causes can include brain injuries, infections, thyroid issues, or primary sex organ abnormalities. Treatment involves lowering sex hormone levels with medications like LHRH to stop further sexual development. Supporting the child emotionally is also important.
A young boy with signs of puberty
This case discusses a 7-year-old boy presenting with early signs of puberty over the past 5-6 months. Laboratory tests showed elevated levels of testosterone, LH, and FSH, confirming precocious puberty. A GnRH stimulation test showed an LH spike, indicating central precocious puberty. The patient was diagnosed with idiopathic central precocious puberty and prescribed injections of Decapeptyl to delay further pubertal progression until age 11 in order to avoid short adult stature. The document discusses evaluation and management of precocious puberty.
Precocious
Precocious puberty is an early onset of sexual maturation, usually defined as beginning before age 8 in girls and age 9 in boys. It can be caused by genetic factors or physical abnormalities affecting the hypothalamus or other parts of the hormonal system. Symptoms in girls include breast development and menstruation, while boys experience genital growth and facial hair. Treatment aims to stop further sexual development using drugs that block hormone production.
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
This document discusses delayed puberty in adolescent girls. It begins by outlining normal pubertal development and defining delayed puberty. Delayed puberty is then classified into three categories: hypergonadotropic hypogonadism (43%), hypogonadotropic hypogonadism (31%), and eugonadism (26%). For evaluation and management, the document recommends obtaining a history, physical exam, initial labs (TSH, prolactin), and a progestational challenge to determine gonadotropin levels and identify underlying causes. Treatment strategies aim to correct the underlying pathology, prevent disease complications, and provide sex steroids.
Disorders of puberty.pptx 2
The document discusses various topics related to puberty, including definitions of key terms, the normal sequence and timing of pubertal changes, causes and treatment of precocious and delayed puberty, and case studies. Precocious puberty can be true/idiopathic, due to tumors or other medical issues, or pseudopuberty caused by medication or conditions like premature adrenarche. Delayed puberty may be due to constitutional delay, medical issues impairing the HPA axis, or prior treatments like radiation therapy. Evaluation and management depends on the underlying cause and aim to initiate puberty normally or replace missing hormones.
Precocious Puberty
Precocious puberty refers to the onset of puberty before age 8 in girls and age 9 in boys. It can be caused by central activation of the hypothalamic-pituitary-gonadal axis or peripheral problems affecting the ovaries, testes or adrenal glands. Treatment typically involves suppressing early hormone production through GnRH analogues to delay puberty and allow for normal adult height. Parents can help children cope by educating them about the changes, monitoring for emotional impacts, and offering praise and support through participation in other activities rather than focusing on appearance.
Precocious puberty ppt
Precocious puberty refers to the early onset of sexual maturation before 8 years in girls and 9 years in boys. It can be classified as true precocious puberty, which is GnRH-dependent, or pseudoprecocious puberty, which is GnRH-independent. Evaluation involves physical exam, lab tests, imaging and bone age assessment. Treatment depends on the type but may include GnRH analogues to suppress early puberty.
Precocious puberty
This document discusses precocious puberty, defined as the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. It describes the different types (true/central, pseudo/peripheral, mixed), potential causes including brain lesions, hypothyroidism, and tumors, signs and symptoms, diagnostic tests, and treatment which typically involves GnRH agonists. Specific conditions discussed in more detail include hypothalamic hamartomas, hepatoblastoma, McCune-Albright syndrome, and familial male precocious puberty. Incomplete forms of precocious puberty like premature thelarche and adrenarche are also summarized.
Precocious puberty
1) Precocious puberty is the onset of secondary sexual characteristics before age 8 in girls and age 9 in boys. It can be caused by premature activation of the hypothalamic-pituitary-gonadal axis (central) or premature sex hormone secretion from other sources like the adrenal glands (peripheral).
2) Treatment involves suppressing sex hormone production using GnRH analogues to stop further sexual development and rapid growth. This helps preserve final adult height.
3) Pubertal development is assessed using the Tanner stages, which evaluate breast/genital development and pubic hair growth. Precocious puberty disrupts the normal timing and progression of these stages.
Normal puberty
The document discusses the normal physiological process of puberty in humans. It describes the prepubertal period and the three changes that occur: adrenarche, decreasing repression of the hypothalamic-pituitary system, and gradual amplification of the interaction between GnRH and gonadotropins. It also discusses the stages of pubertal development, timing of puberty which is influenced mostly by genetics, and average ages for the different Tanner stages of breast and pubic hair development.
Pubertal disorders
The document discusses pubertal disorders and their classification, causes, diagnosis, and management. It begins by defining key terminology related to puberty and describing the normal physiology and regulation of the hypothalamic-pituitary-gonadal axis during puberty. Pubertal disorders are classified as either precocious or delayed puberty. Causes of delayed puberty include hypergonadotropic hypogonadism due to genetic defects or acquired conditions, and hypogonadotropic hypogonadism caused by tumors or CNS disorders that disrupt the HPG axis. Assessment of pubertal development involves the Tanner staging system.
Delayed puberty in children
This document discusses delayed puberty in children. It begins by defining normal puberty and factors that can affect the timing of puberty. It then defines delayed puberty and describes the main types as hypogonadotropic hypogonadism, characterized by low gonadotropins, and hypergonadotropic hypogonadism, characterized by high gonadotropins. The document outlines the evaluation and management of delayed puberty, including history, physical exam, laboratory tests, and treatment approaches depending on the underlying cause. Treatment may involve hormone replacement therapy, addressing underlying medical conditions, or observation in cases of constitutional delay.
Precocious puberty
Precocious puberty is when sexual and physical maturation occurs earlier than normal. It can begin as early as age 6-7 in girls and before age 9 in boys. This is caused by the early release of hormones from the hypothalamus and pituitary gland. Treatment aims to stop further sexual development and rapid growth to allow children to reach their full adult height. Medications that block sex hormones are commonly used, and can help reverse physical changes and return behavior to age-appropriate levels. Precocious puberty affects girls more often than boys and carries health risks if not properly treated.
Puberty
This document provides information about puberty, including:
- The pathophysiology of puberty involves the hypothalamic-pituitary-gonadal axis becoming active during puberty.
- Precocious and delayed puberty are defined as abnormal timing of pubertal development. Precocious puberty occurs before age 8 in girls and 9 in boys, while delayed puberty involves no changes by age 14 in girls or 15 in boys.
- Causes of precocious and delayed puberty include disorders of the hypothalamus, pituitary gland, gonads or adrenal glands. Evaluation involves labs, imaging and bone age assessment. Treatment of precocious puberty uses GnRH
Precocious puberty
Dr.Tai Al Akawy
Consultant pediatrician at Alexandria University Children Hospital , Faculty of Medicine
Egypt
Precocious puberty
This document discusses precocious puberty in a 3 year old girl. On examination, she had breast enlargement and pubic hair development consistent with Tanner stages B3 and Ph2. Lab tests found elevated LH and FSH. Ultrasound showed enlarged uterus and ovaries. The document then reviews physiology of puberty, Tanner staging of breast and pubic hair development, defines precocious puberty, and discusses causes and treatment options like GnRH agonists or surgery.
Puberty
The presentation contains all the information on Puberty with its applied clinical conditions. this presentation is helpful especially for students.
Precocious Puberty : causes, symptoms, sign and treatment
Precocious puberty is a health condition where a child’s body starts to take shape of an adult (puberty) very early. When puberty hits girls before 8 years of age and boys before 9 years, it is termed as precocious puberty.
Delayed Puberty
This presentation deals with the various causes of delayed puberty, its clinical features, their approaches, and latest treatment guidelines
Delayed puberty , etiology , diagnostic approach
This document provides information on delayed puberty, including its definition, causes, evaluation, and treatment. Delayed puberty can be functional, due to hypogonadotropic hypogonadism, or hypergonadotropic hypogonadism. The most common cause is constitutional delay of growth and puberty. Evaluation involves medical history, physical exam, lab tests like LH, FSH and bone age. Treatment depends on the underlying cause, but aims to induce normal pubertal development and growth. For constitutional delay, watchful waiting is often recommended, while permanent hypogonadism requires hormone therapy like testosterone to initiate puberty.
Precious Puberty
Here are the key considerations for this patient:
- She is postmenopausal based on her age
- With an intact uterus, estrogen-only hormone therapy would put her at increased risk for endometrial cancer
- As she is asymptomatic, hormone therapy may not be needed
- Screening for osteoporosis, cardiovascular risk, and breast cancer should be discussed based on risk factors
- Lifestyle modifications like calcium/vitamin D, exercise, not smoking can help prevent diseases of menopause
- Close monitoring without hormone therapy is a reasonable option given her age and lack of bothersome symptoms
The priorities would be assessing risk factors, discussing screening recommendations, and supporting lifestyle changes to promote health during men
Pubertal disorders
Disorders of pubertal development can involve delayed, premature, or arrested puberty. The document discusses the normal physiology of puberty and various conditions that cause abnormalities in pubertal development, including central precocious puberty, peripheral precocious puberty, premature adrenarche, constitutional delay of growth and puberty, and pubertal arrest. Evaluation and management of disorders of pubertal development involves assessment of signs of puberty, auxiliary investigations, and potential treatments depending on the underlying cause.
Disorder Of Puberty
1) Puberty is the biological changes and sexual maturation that occur during the transition from childhood to adulthood, with the average age of onset being 10-13 years for girls and 12-15 years for boys.
2) Precocious and delayed puberty are disorders defined by puberty onset more than 2 standard deviations outside typical ages. Evaluation of puberty issues includes medical history, physical exam focusing on growth and sexual development, and basic lab tests.
3) Common causes of delayed puberty include constitutional delay, chronic illnesses, nutritional deficiencies, and hormonal disorders; while precocious puberty can be gonadotropin-dependent or -independent. Health care providers must provide long-term
Precocious puberty
This document discusses precocious puberty, including central precocious puberty and peripheral precocious puberty. Central precocious puberty is the early activation of the hypothalamic-pituitary-gonadal axis, leading to the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. Peripheral precocious puberty is caused by external sex hormones and may be isosexual or heterosexual. McCune-Albright syndrome is a rare cause of peripheral precocious puberty associated with patchy skin pigmentation and fibrous dysplasia. Treatment for central precocious puberty involves suppressing puberty with GnRH agonists to help increase adult height potential.
Puberty normal and precocious
Additional important history:
- Family history of precocious or early puberty
- Developmental milestones
- Medications/supplements
Examination:
- Bone age X-ray
- Pelvic/abdominal ultrasound
- MRI brain
Differential diagnosis:
- Central precocious puberty
- Peripheral precocious puberty (e.g. McCune-Albright syndrome)
- Pseudoprecocious puberty
Investigations:
- LH, FSH, estradiol
- Chromosome analysis
- MRI to rule out CNS pathology
Final diagnosis: Central precocious puberty likely due to early activation of hyp
Precocious puberty
Precocious puberty is defined as the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. It can be classified as central (gonadotropin-dependent) or peripheral (gonadotropin-independent) puberty. Central puberty is treated with GnRH agonists to slow progression, while peripheral causes like tumors require treatment of the underlying condition. Evaluation involves assessing pubertal development, growth, bone age, and hormone levels to distinguish central from peripheral puberty and identify any lesions.
Precocious and delayed puberty
This document discusses precocious and delayed puberty. It defines precocious puberty as the development of sexual characteristics before age 8 or menstruation before age 10. Causes can be idiopathic, an intracranial lesion, or disorders like McCune-Albright syndrome. Treatment aims to slow bone maturation and reduce gonadotropin secretion, using medications like GnRH agonists. Delayed puberty is defined as lack of breast or pubic hair development by ages 13-14 or menarche after 16. Causes include hypogonadism, chronic illness, or eugonadism. Treatment depends on the underlying cause and may involve cyclic or combined estrogen therapies.
Precocious puberty
precocious puberty is one of the grey areas for pediatricians and gyenecologists. this is an attempt to answer some of the questions the content is references taken from authorative textbooks
pubertylectute pdf......................
Puberty is a normal physiological transition from childhood to adulthood involving growth and development of secondary sex characteristics. The timing and progression of puberty can vary between individuals and populations. Abnormal puberty includes delayed or precocious development and requires evaluation to identify any underlying medical conditions. Constitutional delay is the most common cause of delayed puberty in boys.
THE CHANGES THAT YOUR BODY UNDERGOES. UNDERSTANDING PUBERTY
Puberty is controlled by the hypothalamic-pituitary-gonadal axis. Normal puberty occurs between ages 8-14 in girls and 9-14 in boys. It involves physical changes like growth spurts and development of secondary sex characteristics. Abnormal puberty can be delayed or precocious. Delayed puberty is usually due to constitutional factors but may have underlying causes. Genetic factors influence the timing of puberty.
More Related Content
What's hot
Precocious puberty
1) Precocious puberty is the onset of secondary sexual characteristics before age 8 in girls and age 9 in boys. It can be caused by premature activation of the hypothalamic-pituitary-gonadal axis (central) or premature sex hormone secretion from other sources like the adrenal glands (peripheral).
2) Treatment involves suppressing sex hormone production using GnRH analogues to stop further sexual development and rapid growth. This helps preserve final adult height.
3) Pubertal development is assessed using the Tanner stages, which evaluate breast/genital development and pubic hair growth. Precocious puberty disrupts the normal timing and progression of these stages.
Normal puberty
The document discusses the normal physiological process of puberty in humans. It describes the prepubertal period and the three changes that occur: adrenarche, decreasing repression of the hypothalamic-pituitary system, and gradual amplification of the interaction between GnRH and gonadotropins. It also discusses the stages of pubertal development, timing of puberty which is influenced mostly by genetics, and average ages for the different Tanner stages of breast and pubic hair development.
Pubertal disorders
The document discusses pubertal disorders and their classification, causes, diagnosis, and management. It begins by defining key terminology related to puberty and describing the normal physiology and regulation of the hypothalamic-pituitary-gonadal axis during puberty. Pubertal disorders are classified as either precocious or delayed puberty. Causes of delayed puberty include hypergonadotropic hypogonadism due to genetic defects or acquired conditions, and hypogonadotropic hypogonadism caused by tumors or CNS disorders that disrupt the HPG axis. Assessment of pubertal development involves the Tanner staging system.
Delayed puberty in children
This document discusses delayed puberty in children. It begins by defining normal puberty and factors that can affect the timing of puberty. It then defines delayed puberty and describes the main types as hypogonadotropic hypogonadism, characterized by low gonadotropins, and hypergonadotropic hypogonadism, characterized by high gonadotropins. The document outlines the evaluation and management of delayed puberty, including history, physical exam, laboratory tests, and treatment approaches depending on the underlying cause. Treatment may involve hormone replacement therapy, addressing underlying medical conditions, or observation in cases of constitutional delay.
Precocious puberty
Precocious puberty is when sexual and physical maturation occurs earlier than normal. It can begin as early as age 6-7 in girls and before age 9 in boys. This is caused by the early release of hormones from the hypothalamus and pituitary gland. Treatment aims to stop further sexual development and rapid growth to allow children to reach their full adult height. Medications that block sex hormones are commonly used, and can help reverse physical changes and return behavior to age-appropriate levels. Precocious puberty affects girls more often than boys and carries health risks if not properly treated.
Puberty
This document provides information about puberty, including:
- The pathophysiology of puberty involves the hypothalamic-pituitary-gonadal axis becoming active during puberty.
- Precocious and delayed puberty are defined as abnormal timing of pubertal development. Precocious puberty occurs before age 8 in girls and 9 in boys, while delayed puberty involves no changes by age 14 in girls or 15 in boys.
- Causes of precocious and delayed puberty include disorders of the hypothalamus, pituitary gland, gonads or adrenal glands. Evaluation involves labs, imaging and bone age assessment. Treatment of precocious puberty uses GnRH
Precocious puberty
Dr.Tai Al Akawy
Consultant pediatrician at Alexandria University Children Hospital , Faculty of Medicine
Egypt
Precocious puberty
This document discusses precocious puberty in a 3 year old girl. On examination, she had breast enlargement and pubic hair development consistent with Tanner stages B3 and Ph2. Lab tests found elevated LH and FSH. Ultrasound showed enlarged uterus and ovaries. The document then reviews physiology of puberty, Tanner staging of breast and pubic hair development, defines precocious puberty, and discusses causes and treatment options like GnRH agonists or surgery.
Puberty
The presentation contains all the information on Puberty with its applied clinical conditions. this presentation is helpful especially for students.
Precocious Puberty : causes, symptoms, sign and treatment
Precocious puberty is a health condition where a child’s body starts to take shape of an adult (puberty) very early. When puberty hits girls before 8 years of age and boys before 9 years, it is termed as precocious puberty.
Delayed Puberty
This presentation deals with the various causes of delayed puberty, its clinical features, their approaches, and latest treatment guidelines
Delayed puberty , etiology , diagnostic approach
This document provides information on delayed puberty, including its definition, causes, evaluation, and treatment. Delayed puberty can be functional, due to hypogonadotropic hypogonadism, or hypergonadotropic hypogonadism. The most common cause is constitutional delay of growth and puberty. Evaluation involves medical history, physical exam, lab tests like LH, FSH and bone age. Treatment depends on the underlying cause, but aims to induce normal pubertal development and growth. For constitutional delay, watchful waiting is often recommended, while permanent hypogonadism requires hormone therapy like testosterone to initiate puberty.
Precious Puberty
Here are the key considerations for this patient:
- She is postmenopausal based on her age
- With an intact uterus, estrogen-only hormone therapy would put her at increased risk for endometrial cancer
- As she is asymptomatic, hormone therapy may not be needed
- Screening for osteoporosis, cardiovascular risk, and breast cancer should be discussed based on risk factors
- Lifestyle modifications like calcium/vitamin D, exercise, not smoking can help prevent diseases of menopause
- Close monitoring without hormone therapy is a reasonable option given her age and lack of bothersome symptoms
The priorities would be assessing risk factors, discussing screening recommendations, and supporting lifestyle changes to promote health during men
Pubertal disorders
Disorders of pubertal development can involve delayed, premature, or arrested puberty. The document discusses the normal physiology of puberty and various conditions that cause abnormalities in pubertal development, including central precocious puberty, peripheral precocious puberty, premature adrenarche, constitutional delay of growth and puberty, and pubertal arrest. Evaluation and management of disorders of pubertal development involves assessment of signs of puberty, auxiliary investigations, and potential treatments depending on the underlying cause.
Disorder Of Puberty
1) Puberty is the biological changes and sexual maturation that occur during the transition from childhood to adulthood, with the average age of onset being 10-13 years for girls and 12-15 years for boys.
2) Precocious and delayed puberty are disorders defined by puberty onset more than 2 standard deviations outside typical ages. Evaluation of puberty issues includes medical history, physical exam focusing on growth and sexual development, and basic lab tests.
3) Common causes of delayed puberty include constitutional delay, chronic illnesses, nutritional deficiencies, and hormonal disorders; while precocious puberty can be gonadotropin-dependent or -independent. Health care providers must provide long-term
Precocious puberty
This document discusses precocious puberty, including central precocious puberty and peripheral precocious puberty. Central precocious puberty is the early activation of the hypothalamic-pituitary-gonadal axis, leading to the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. Peripheral precocious puberty is caused by external sex hormones and may be isosexual or heterosexual. McCune-Albright syndrome is a rare cause of peripheral precocious puberty associated with patchy skin pigmentation and fibrous dysplasia. Treatment for central precocious puberty involves suppressing puberty with GnRH agonists to help increase adult height potential.
Puberty normal and precocious
Additional important history:
- Family history of precocious or early puberty
- Developmental milestones
- Medications/supplements
Examination:
- Bone age X-ray
- Pelvic/abdominal ultrasound
- MRI brain
Differential diagnosis:
- Central precocious puberty
- Peripheral precocious puberty (e.g. McCune-Albright syndrome)
- Pseudoprecocious puberty
Investigations:
- LH, FSH, estradiol
- Chromosome analysis
- MRI to rule out CNS pathology
Final diagnosis: Central precocious puberty likely due to early activation of hyp
Precocious puberty
Precocious puberty is defined as the onset of secondary sexual characteristics before age 8 in girls and 9 in boys. It can be classified as central (gonadotropin-dependent) or peripheral (gonadotropin-independent) puberty. Central puberty is treated with GnRH agonists to slow progression, while peripheral causes like tumors require treatment of the underlying condition. Evaluation involves assessing pubertal development, growth, bone age, and hormone levels to distinguish central from peripheral puberty and identify any lesions.
Precocious and delayed puberty
This document discusses precocious and delayed puberty. It defines precocious puberty as the development of sexual characteristics before age 8 or menstruation before age 10. Causes can be idiopathic, an intracranial lesion, or disorders like McCune-Albright syndrome. Treatment aims to slow bone maturation and reduce gonadotropin secretion, using medications like GnRH agonists. Delayed puberty is defined as lack of breast or pubic hair development by ages 13-14 or menarche after 16. Causes include hypogonadism, chronic illness, or eugonadism. Treatment depends on the underlying cause and may involve cyclic or combined estrogen therapies.
Precocious puberty
precocious puberty is one of the grey areas for pediatricians and gyenecologists. this is an attempt to answer some of the questions the content is references taken from authorative textbooks
What's hot (20)
Precocious Puberty : causes, symptoms, sign and treatment
Precocious Puberty : causes, symptoms, sign and treatment
Similar to PRIMER TO PRECOCIOUS PUBERTY
pubertylectute pdf......................
Puberty is a normal physiological transition from childhood to adulthood involving growth and development of secondary sex characteristics. The timing and progression of puberty can vary between individuals and populations. Abnormal puberty includes delayed or precocious development and requires evaluation to identify any underlying medical conditions. Constitutional delay is the most common cause of delayed puberty in boys.
THE CHANGES THAT YOUR BODY UNDERGOES. UNDERSTANDING PUBERTY
Puberty is controlled by the hypothalamic-pituitary-gonadal axis. Normal puberty occurs between ages 8-14 in girls and 9-14 in boys. It involves physical changes like growth spurts and development of secondary sex characteristics. Abnormal puberty can be delayed or precocious. Delayed puberty is usually due to constitutional factors but may have underlying causes. Genetic factors influence the timing of puberty.
growth and devlopement assessment of baby
The document summarizes growth and development from infancy to one year. It discusses physical growth including weight, length, head circumference, and other body measurements. It also covers motor, cognitive, psychosocial, and other developmental milestones. Common problems and nursing responsibilities for infants are mentioned. The conclusion restates the importance of understanding infant growth and development.
Growth and devlopement
The document summarizes growth and development from infancy to one year. It discusses physical growth including weight, length, head circumference, and other body measurements. It also covers motor, cognitive, psychosocial, and other developmental milestones. Common problems and nursing responsibilities for infants are mentioned. The conclusion restates the importance of understanding infant growth and development.
Motor development infants
Growth and development are important processes in children. Growth refers to an increase in physical size that can be measured, while development is a qualitative change in skills and functioning observed over time. The stages of growth and development include prenatal, infancy, early childhood, middle childhood, and adolescence. A newborn's physical characteristics typically include a weight between 2.7-4 kg, a height between 47.5-53.75 cm, and a head circumference of 33-35 cm. The anterior fontanel closes between 12-18 months while the posterior fontanel closes by 1 month. Understanding children's growth and development aids in health care and parenting.
GROWTH AND DEVELOPMENT(PAEDIATRICS)
1) Growth and development is a continuous process from fetal life through adulthood that follows general patterns and principles.
2) Key periods of growth include fetal development, infancy, childhood, puberty and adolescence, with the greatest growth rates during fetal life and the first years after birth.
3) Different tissues grow at different rates, and growth is influenced by genetic, nutritional, hormonal and environmental factors.
growth development final.pptx
Growth and development in children occurs in an orderly process defined by certain laws and principles. Growth refers to an increase in size due to cell multiplication and hypertrophy. It is assessed through anthropometric measurements like height, weight, head circumference etc. Development involves functional and physiological maturation and is influenced by prenatal, neonatal, social and protective factors. Both growth and development are unique for each child and follow cephalocaudal and proximodistal patterns. Key milestones are used to evaluate motor, language, personal-social and other domains of development. Regular screening aids early detection of deviations from normal patterns.
Adolescent Health Nikki.pptx
Adolescence is a transition period from childhood to adulthood where the body undergoes immense physical, cognitive and psychological changes. It begins with the onset of puberty between ages 10-16, marked by growth spurts and development of secondary sexual characteristics. During this stage, adolescents experience hormonal changes driven by the hypothalamus and pituitary glands, along with cognitive advancements in thinking and psychosocial development of identity, independence and intimacy. Their health faces risks such as tobacco use, STIs, and mental health issues like suicide if poor habits are developed during this critical life phase.
Puberty ( Assessment and Factor affecting puberty)
This document provides information on assessing puberty and factors that can affect the timing of puberty. It discusses evaluating puberty through measuring height, weight, sexual maturity ratings, and age of pubertal growth spurt. Genetics influence puberty timing by about 46% while environmental factors like nutrition, urbanization, chemicals like BPA, and stress can also affect the onset and progression of puberty. Chronic illness and mental health issues may delay puberty.
Difference between children and adult
this ppt is about Difference between children and adult which is prepared by MR RAKESH SINGH RAJPOOT (TUTOR) IN AAADARSH NURSING COLLEGE JRTPURA DHAR
Growth Assessment Parameter
This document discusses various parameters used to assess a child's growth and developmental age, including somatotypic age, chronological age, height and weight age, sexual age, facial age, skeletal age, and dental age. It provides details on assessing each type of age, such as the Tanner stages for sexual maturity or ossification stages of skeletal development. The conclusion emphasizes the importance of correctly determining a child's developmental age for treatment planning using these anthropometric measurements and interdisciplinary evaluation.
Physical development adolescence
The document summarizes physical development during childhood and adolescence. It covers development of the brain, body, motor skills, problems in early childhood, growth in middle childhood, hormonal changes and puberty in adolescence. It also discusses physical and mental health issues during these stages including nutrition, sleep needs, physical activity, depression, use and abuse of drugs, and death in adolescence.
Puberty (Advanced Developmental Psychology)
Developmental changes in puberty
Characteristics of Puberty
Criteria of puberty
Causes Of Puberty
Age of puberty
Body changes at puberty
Effect of Puberty Changes
Sources of concern
Hazards of Puberty
Clinical relevance of chronologic, dental, and skeletal age
Skeletal age, dental age, and chronological age are used to assess biological maturity in growing individuals. Skeletal age is determined through radiographs of bones like the hand and wrist. Dental age is assessed based on tooth development stages and is usually synchronous with chronological age. Common methods to determine skeletal and dental age include Tanner-Whitehouse, Greulich-Pyle, Demirjian, and Cameriere open apex methods. Factors like genetics, nutrition, and disease can cause advanced or delayed development compared to chronological age. Skeletal and dental age assessment provide information for pediatric evaluations, orthodontics, and forensic investigations.
ENCA 2016 - Genoa - Gill Meens
Arthritis Care
Young People and Families Service
Transition – The Patient and Parent Perspective in Scotland
Teaching adolescents
Adolescence is defined as the transition from childhood to adulthood that begins with puberty. Puberty involves physical changes like growth and development of sexual characteristics in girls between ages 9-13 and boys between 10-14. Adolescents experience many changes simultaneously, including physical transformations during puberty, new psychological and cognitive developments, and expanded social awareness. While this period of new horizons also brings autonomy and intimacy, it poses hazards like sexually transmitted diseases, early pregnancy, accidents, and mental health issues. Parents and educators are encouraged to communicate openly, listen carefully, and address any warning signs.
precocious puberty in children ppts.pptx
This document provides information on precocious puberty and pubertal physiology. It summarizes the types of precocious puberty as central (hypothalamic/pituitary mediated) or peripheral (gonadal/adrenal mediated). Central precocious puberty can be idiopathic or organic, with potential causes including hypothalamic hamartoma, tumors, or prior radiation exposure. Incomplete precocious puberty involves isolated changes like thelarche, pubarche, or menarche. The document outlines evaluation and management of different precocious puberty subtypes.
Schoolj asndj asd qwerwer wefcsdfs dfsdff
ثب صثwefe
wef
wefwefdzfzfsdfsddddddddsdf sdfewe weewwww weff s
GROWTH AND DEVELOMENT-1.pptx
The document discusses various parameters for assessing child growth and development through anthropometric measurements. It describes how weight, length/height, head circumference, chest circumference, mid-upper arm circumference, and BMI should normally change from birth through childhood and puberty. The roles of nurses in accurately measuring and recording these parameters to monitor for deviations are also highlighted.
Short staure.Paeds 2.pptx
This document provides information on defining and interpreting growth parameters in children, including low birth weight, prematurity, weight formulas, normal heights and head circumferences at different ages, mid-parental height calculation, and causes of growth retardation. It also discusses evaluating a child with short stature, including anthropometry, bone age assessment, differential diagnosis, and initial investigations. Key areas of focus are auxology, growth monitoring, growth curves, and evaluating the cause of short stature or growth failure in a child.
Similar to PRIMER TO PRECOCIOUS PUBERTY (20)
THE CHANGES THAT YOUR BODY UNDERGOES. UNDERSTANDING PUBERTY
THE CHANGES THAT YOUR BODY UNDERGOES. UNDERSTANDING PUBERTY
Puberty ( Assessment and Factor affecting puberty)
Puberty ( Assessment and Factor affecting puberty)
Clinical relevance of chronologic, dental, and skeletal age
Clinical relevance of chronologic, dental, and skeletal age
More from Dr. Om J Lakhani
Thyroid and Infertility
My talk on Thyroid and Infertility in Jabalpur in Feb 2019. I have summarised the available evidence until 2019 in an easy to use flowchart and slides. It would be very useful for practicing Endocrinologists, Physicians and Obs-gyn.
Interesting Endocrine cases in Women
Presentation made in December 2018. Some interesting cases pertaining to Endocrine disorders in Women
Insulin Pump- Evidence from Current Era.
Insulin pumps have been shown to improve glycemic control in adults with type 1 diabetes based on evidence from randomized controlled trials and meta-analyses. The evidence is mixed for glycemic control benefits in children, though some studies and meta-analyses favor insulin pumps. Insulin pumps reduce the risk of microvascular complications and glycemic variability even when average blood sugar levels are similar to multiple daily injections. The risk of hypoglycemia is similar for pumps and injections, while the risk of ketoacidosis depends on experience with pump use. Importantly, insulin pumps consistently improve quality of life for people with type 1 diabetes.
Inborn Errors of Metabolism
Approach to Inborn Errors of Metabolism for an Endocrinologist. Presented at ESICON 2018 in Bhubnewshwar.
Plasma metanephrine and normetanephrine sample collection protocol
a) The document outlines the protocol for collecting a plasma metanephrine and plasma normetanephrine test, which should be done after an overnight fast.
b) Patients should avoid interfering drugs for 14 days and foods like caffeine for 24 hours prior to testing.
c) Blood should be drawn after the patient has been lying supine for 30 minutes, collected in an EDTA tube, separated via centrifugation, and frozen plasma shipped for analysis.
Diagnosis of PCOS in adolescents
The document discusses the diagnosis of polycystic ovary syndrome (PCOS) in adolescents. It provides criteria for clinical evidence of hyperandrogenism, biochemical hyperandrogenism, clinical evidence of anovulation, and ultrasound criteria. The diagnostic criteria for PCOS in adolescents are: 1) evidence of anovulation such as irregular menstrual cycles, 2) signs of hyperandrogenism like hirsutism or high androgen levels, 3) ovarian morphology on ultrasound showing ovarian volume greater than 12ml, and 4) ruling out other potential causes.
American diabetes association guidelines for screening for Type 2 diabetes in...
American diabetes association guidelines for screening for Type 2 diabetes in children. Frequently Asked Questions.
What after metformin ?
This document discusses cardiovascular risk reduction strategies for a patient with type 2 diabetes and a strong family history of cardiovascular disease. It reviews the cardiovascular safety data of various anti-diabetic medications and recommends intensifying treatment to achieve an A1C less than 7%, blood pressure lower than 130/80 mmHg, high-intensity statin therapy, and aspirin. For this patient's secondary prevention, drugs like liraglutide, empagliflozin, canagliflozin, and pioglitazone that have demonstrated cardiovascular benefits in clinical trials are preferable additions to metformin over sulfonylureas. While these newer anti-diabetic drugs have robust evidence for secondary prevention, data for their use in
A Case of Adolescent Type 2 Diabetes
This was a presentation delivered at Gandhinagar on 18th August 2017. This is a talk on a Case of Adolescent Type 2 Diabetes successfully managed with Basal Insulin with Metformin
Endocrine causes of hypertension
1. The document discusses hypertension in young patients from an endocrinologist's perspective and presents 5 case studies.
2. Case 1 involves a 25-year-old male with high blood pressure found on a pre-employment checkup, prompting evaluation for secondary causes of hypertension.
3. Case 2 is a 35-year-old male with signs and symptoms of Cushing's syndrome, which can cause high blood pressure.
MANAGEMENT OF DIABETES IN CHRONIC KIDNEY DISEASE (Special reference to Use of...
Talk on MANAGEMENT OF DIABETES IN CHRONIC KIDNEY DISEASE (Special reference to Use of Metformin In CKD).
Presented on 25th June 2017 at THE METFORMIN MEET in Vadodara, India
More from Dr. Om J Lakhani (11)
Plasma metanephrine and normetanephrine sample collection protocol
Plasma metanephrine and normetanephrine sample collection protocol
American diabetes association guidelines for screening for Type 2 diabetes in...
American diabetes association guidelines for screening for Type 2 diabetes in...
MANAGEMENT OF DIABETES IN CHRONIC KIDNEY DISEASE (Special reference to Use of...
MANAGEMENT OF DIABETES IN CHRONIC KIDNEY DISEASE (Special reference to Use of...
Recently uploaded
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...chandankumarsmartiso
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel With 100% Satisfaction
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Recently uploaded (20)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
PRIMER TO PRECOCIOUS PUBERTY
- 1. PRIMER TO PRECOCIOUS PUBERTY DR. OM J LAKHANI CONSULTANT ENDOCRINOLOGIST www.dromlakhani.com
- 2. • Q. What is definition of precocious puberty ?
- 3. • Age of onset of puberty 2 -2.5 SD earlier than normal • Ie Onset of puberty before 8 years on girls and before 9 year in boys
- 4. • Q. What is the mean age of pubertal onset in girls and boys and what is 1 SD of both ?
- 5. • Mean in girls- 10.5 years • Mean in boys- 11.5 years • 1 SD – around 1 year • Hence 2.5 SD would be 8 and 9 respectively
- 6. • Q. What is sequence of pubertal development in girls ?
- 7. 1. Thelarche (11-11.5 years) 2. Pubarche 3. Menarche
- 8. • Q. And boys ?
- 9. 1. Increase testicular size 2. Increase penile size 3. Pubic hair
- 10. Pearl • Precocious puberty is more common in girls • Delayed puberty- more common in boys
- 11. Pearl • With trend for earlier puberty – the cutoffs for evaluation of precocious puberty are changing • Hence the patient must be evaluated seeing the racial and clinical context rather than age alone
- 13. • Q. Classify precocious puberty ?
- 14. 1. Benign / Non progressive variants 2. Central precocious puberty 3. Peripheral precocious puberty
- 15. • Q. Which are the benign variants ?
- 16. 1. Premature thelarche 2. Premature adrenarche (? Pubarche) 3. Isolated premature menarche (controversial) 4. Non progressive Precocious puberty or Intermittently progressive precocious puberty
- 17. Q. What is isosexual precocity and contrasexual precocity ?
- 18. • Isosexual – early development sexual features characteristic of the same sex • Contrasexual – early development sexual features characteristic of the opposite sex