By Heather L. Appelbaum
Comprised completely of medical instances masking irregular girl puberty and its scientific administration, this concise, functional casebook will supply clinicians in reproductive endocrinology, gynecology and pediatrics with the easiest real-world innovations to correctly diagnose and deal with some of the different types of the they might come across. each one bankruptcy is a case that opens with a special scientific presentation, via an outline of the analysis, overview and administration thoughts used to regard it, in addition to the case consequence and scientific pearls and pitfalls. situations integrated illustrate diverse factors of irregular puberty in addition to administration techniques, together with congenital anomalies, endocrine problems, problems with constitutional hold up, weight problems, consuming problems, ovarian melanoma and the impression of pharmacology, between others. Pragmatic and reader-friendly, Abnormal woman Puberty: A scientific Casebook may be an exceptional source for reproductive endocrinologists, gynecologists and pediatricians alike.
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Additional info for Abnormal Female Puberty: A Clinical Casebook
16. Fedele L, Frontino G, Restelli E, Ciappina N, Motta F, Bianchi S. Creation of a neovagina by Davydov’s laparoscopic modiﬁed technique in patients with Rokitansky syndrome. Am J Obstet Gynecol. 2010;202(1):33. 17. Darai E, Toullalan O, Besse O, PoritonL DP. Anatomic and functional results of laparoscopic-perineal. Hum Reprod. 2003;18:2454–9. 18. Dargent D, Marchiole P, Giannesi A, Benchaib M, Chevret-Measson M, Mathevet P. Laparoscopic Davydov or laparoscopic transposition of the peritoneum colpopoiesis described by Davydov for the treatment of genital vaginal agenesis: the technique and its evolution.
There has not been any pubic or axillary hair growth nor any acne or adult body odors. Her family states that there was one time, approximately 3 weeks ago, that they noted some dried blood in her underwear. Her general health has been otherwise good, and she has no other medical issues. Family denies any environmental exposure. Review of her growth curves shows increased height percentile since last year, from the 25th percentile to the now ~50th. 9 kg/m2 at the 41st percentile. Her blood pressure is normal.
3 mIU/mL) and elevated estradiol of 40 pg/mL. Adrenal androgens are consistent with mid-puberty. 17-Hydroxyprogesterone is normal. Bone age X-ray is performed as read as advanced with a skeletal age of 10 years. MRI of the head/pituitary with and without contrast is performed and is normal. Further discussion reveals that the patient was likely chronically exposed to her father’s pesticides while in the ﬁelds. 40 J. M. Vuguin Discussion Endocrine disruptors are environmental chemicals, either natural or manmade, that can interact with the normal hypothalamic–pituitary–gonadal axis [50–52].
Abnormal Female Puberty: A Clinical Casebook by Heather L. Appelbaum