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#ir #peds
  • Precocious puberty in ♀: when are you worried and which tests would you order?

Ix (if bone age > height age, <6, OR psychological issues): always (bone age, FSH/LH, EST/TEST, DHEAs/17-hydroxyPRO, TSH/T4), consider (pelvic U/S, MRI head, β-hCG, GnRH/ACTH stimulation)
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endo (day 8)
development (“boobs→pubes→grow→flow”) Ix (if no menarche >16 or pubertal >12): always (bone age, CBC/lytes, CRP, FSH/LH, EST/TEST, TSH/T4, IGF, U/A), consider (IBD panel, Celiac panel, etc.) <span>Precocious puberty in ♀: when are you worried and which tests would you order? Ix (if bone age > height age, <6, OR psychological issues): always (bone age, FSH/LH, EST/TEST, DHEAs/17-hydroxyPRO, TSH/T4), consider (pelvic U/S, MRI head, β-hCG, GnRH/ACTH stimulation) Hypoglycemia (Infants and Children) Definition Plasma glucose (PG) ≤2.8 mmol/L Etiology • Endocrine causes: Ketotic hypoglycemia, GH deficiency, panh


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