Author Archives: Ashish Goyal
Author Archives: Ashish Goyal
Always start an amenorrhea workup with an HCG; if that is negative, then move on to further testing:
* PROGESTERONE CHALLENGE
NOTE: There are MANY questions that present with growth charts. Please be as familiar as possible with the above-mentioned information and the Continue reading
NOTE: GENETIC predisposition to being tall should be kept in mind.
Klinefelter Syndrome (AKA Klinefelter’s) = XXY. It Continue reading
With a constitutional growth delay, look for normal growth until about 1 year of age, but then the child Continue reading
For delayed puberty associated with hypogonadotropic ovarian failure, consider POOR NUTRITION or an EATING DISORDER as possible etiologies. Continue reading
In girls, delayed puberty is defined as having no breast buds by the age of 13. It can Continue reading
In congenital adrenal hyperplasia (CAH), there is a cortisol and aldosterone manufacturing problem in the adrenal glands. Negative feedback results in Continue reading
In gonadotropin-independent precocious puberty (AKA precocious pseudopuberty or pseudoprecocious puberty), there is some sex-steroid production going on in the body but not Continue reading
Estrogen causes the development of Breasts + Change in vaginal color + Labial Prominence.
Androgens cause pubic hair development. So when you think Continue reading
Here are some great pearls and shortcuts about normal puberty.