08-15-2008, 01:38 PM
8 yr old girl with coarse pubic hair ,menarche,gnrh given,no increase in FSH...next step?
GYNE q - guest78
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08-15-2008, 01:38 PM
8 yr old girl with coarse pubic hair ,menarche,gnrh given,no increase in FSH...next step?
08-15-2008, 01:47 PM
MRI of the pituitary?
08-15-2008, 01:54 PM
Ans would be either abdominal U/S to check adrenals or Urinary/ serum keto steroid assay
08-15-2008, 07:07 PM
would you also check TSH to see if the cause is panhypopit.
trio.. why check adrenals??
08-15-2008, 07:49 PM
causes of precocious puberty-pituitary tumours, adrenal tumours ,ovarian tumours and idiopathic, so check for adrenals looking for tumours
08-15-2008, 08:21 PM
U/S for ovarian and adrenal abnormalities
08-15-2008, 08:25 PM
.....
08-15-2008, 08:31 PM
manni,good job...its usg to look for ovarian tumor.
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