8 yr old girl with coarse pubic hair ,menarche,gnrh given,no increase in FSH...next step?
Ans would be either abdominal U/S to check adrenals or Urinary/ serum keto steroid assay
would you also check TSH to see if the cause is panhypopit.
trio.. why check adrenals??
causes of precocious puberty-pituitary tumours, adrenal tumours ,ovarian tumours and idiopathic, so check for adrenals looking for tumours
U/S for ovarian and adrenal abnormalities
manni,good job...its usg to look for ovarian tumor.