Download Abnormal Female Puberty: A Clinical Casebook by Heather L. Appelbaum PDF

By Heather L. Appelbaum

Comprised completely of medical instances protecting irregular girl puberty and its medical administration, this concise, functional casebook will supply clinicians in reproductive endocrinology, gynecology and pediatrics with the simplest real-world options to correctly diagnose and deal with many of the kinds of the they could come upon. every one bankruptcy is a case that opens with a different scientific presentation, by means of an outline of the analysis, evaluate and administration options used to regard it, in addition to the case consequence and medical pearls and pitfalls. situations integrated illustrate diversified motives of irregular puberty in addition to administration options, together with congenital anomalies, endocrine issues, problems with constitutional hold up, weight problems, consuming issues, ovarian melanoma and the impact of pharmacology, between others. Pragmatic and reader-friendly, Abnormal woman Puberty: A medical Casebook could be a very good source for reproductive endocrinologists, gynecologists and pediatricians alike.

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Additional resources for Abnormal Female Puberty: A Clinical Casebook

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Vuguin Outcome The patient was initially observed clinically over the next month, during which time her breast development began to regress. Repeat ultrasound showed a similarly sized cyst, though with newly noted possible septations. Due to change in appearance, she was referred to pediatric surgery for consultation, who recommended continued observation. Three months later, the cyst had nearly completely involuted and her labs showed a prepubertal estrogen level. Repeat bone age showed no further advancement.

1976;124:293–300. 47. Jorgensen PB, Kjartansdóttir KR, Fedder J. Care of women with XY karyotype: a clinical practice guideline. Fertil Steril. 2010;94(1):105–13. 087. 48. Oakes MB, Eyvazzadeh AD, Quint E, Smith YR. Complete androgen insensitivity syndrome - A review. J Pediatr Adolesc Gynecol. 2008; 21(6):305–10. 49. Slijper FM, Frets PG, Boehmer AL, Drop SL, Niermeijer MF. Androgen insensitivity syndrome (AIS): emotional reactions of parents and adult patients to the clinical diagnosis of AIS and its confirmation by androgen receptor gene mutation analysis.

There is no clitoral enlargement. 8 kg/m2 at the 35th percentile. Her blood pressure is normal. She has no acne, hirsutism, or cutaneous findings. Pubertal status is Tanner stage 2 for breasts with estrogenization of the aerolae. Pubic hair is Tanner 1. There is no axillary hair. The vaginal mucosa appears slightly pink. There is no clitoral enlargement. Early morning laboratory testing on both girls shows low prepubertal gonadotropins and elevated estradiol (26 pg/mL for the 7 year old, 37 for the 4 year old).

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