03-12-2010, 05:17 AM
Britney, a 19-year-old girl comes to the physician because she has not had a menstrual period. She
experienced normal breast development through puberty but has yet to have a period. She has no other complaints. She has no medical problems. Examination shows the patient to be tall with long arms and big hands. The breasts are normal-appearing except that the nipples are immature and the areolae are pale. Pelvic examination shows scant pubic hair with a blind-ended vaginal pouch.
Which of the following is the most likely diagnosis?
A. Asherman syndrome
B. Kallmann syndrome
C. Polycystic ovarian syndrome
D. Androgen insensitivity syndrome
E. Turner syndrome
experienced normal breast development through puberty but has yet to have a period. She has no other complaints. She has no medical problems. Examination shows the patient to be tall with long arms and big hands. The breasts are normal-appearing except that the nipples are immature and the areolae are pale. Pelvic examination shows scant pubic hair with a blind-ended vaginal pouch.
Which of the following is the most likely diagnosis?
A. Asherman syndrome
B. Kallmann syndrome
C. Polycystic ovarian syndrome
D. Androgen insensitivity syndrome
E. Turner syndrome
