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What are the consequences of hypopituitarism? - CORRECT ANSWER-
Consequences depend on the degree of dysfunction. They can include
gonadotropin deficiency, growth hormone (GH) deficiency, thyroid-stimulating
hormone (TSH) deficiency, & corticotropin deficiency.
What is included in the diagnostic evaluation
of growth hormone deficiency? - CORRECT ANSWER-▶ Family history
▶ Growth patterns and previous health status
▶ Physical examination
▶ Psychosocial evaluations
▶ Radiographic survey
▶ Endocrine studies
What is the therapeutic management
of growth hormone deficiency? - CORRECT ANSWER-Treatment is directed
toward correction of the
, underlying disease process. Replacement with GH is successful in 80% of affected
children. Therapy is ended when growth rates are less than 1 inch per year.
▶ Girls: at 14 years of age
▶ Boys: at 16 years of age
What is precocious puberty? - CORRECT ANSWER-Defined as sexual
development before age 9 years in boys or before age 8 years in girls.
Evaluation for pathologic cause is required in white girls younger than 7 years and
African American girls younger than 6 years.
Potential causes include disorder of gonads, adrenal glands, or hypothalamic-
pituitary gonadal axis; 95% are idiopathic.
Explain central precocious puberty (CPP). - CORRECT ANSWER-Early
maturation and development of gonads and secondary sex characteristics.
Accounts for 80% of cases of precocious puberty.
Explain peripheral precocious puberty. - CORRECT ANSWER-Premature
development of breasts, pubic and axillary hair, and menses
What is the therapeutic management