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Premature dev't of pubic hair
- Absence / cessation of
- Hormones (FSH/LH)
- released by pituitary gland; responsible for stimulating gonads (ovaries)
- Blood accumulated in
- Blood accumulates in
- Watery-mucoid fluid
- accumulation in vagina
- Watery-mucoid fluid
- accumulation in uterus
- embryologic dev’t
- breasts prematurely. ?ovarian
- 2° sexual characteristics develop; reproduction
- possible (start 10yrs)
- Premature breast
- dev’t; isolated
What is the Uterus Length & Ovary volume of:
- 3.5 cm <1cc
- 2.5 cm 3cc
- 6.2 cm 10cc +/- 6cc
Fusion of the caudal end of mullerian ducts form ___________, ____________ & _______________.
When is the Neonatal period?
Neonate Fundus:Cx Ratio?
What are some causes of Primary amenorrhea? (3)
- gonadal failure
- congenital absense uterus & vag
- constitutional delay
What are some secondary causes of amenorrhea?
- Chronic anovulation
- Weight loss / anorexia
Sexual maturity before 8 yrs is called?
Precocious puberty is ______________ times MC in females.
What is the difference between True & Pseudo precocious puberty?
- True = ovulation before 8 yrs, ovaries reproductive size (usually pituitary/hypothalamic abn)
- Pseudo = only body shape change; ovaries immature (60% Granulosa Theca Cell Tumor/sex cord)(Sertoli, Thecoma, Fibroma)
True precocious puberty child's height ________________ rapidly but final is ______________than expected.
What should be ruled out when mullerian duct defect suspected?
How do you calculate ovarian and bladder volume?
L X W X H X 0.523
70% of ovarian masses are?
Cysts (simple of hemorrhagic) should not contain ________________?
Child presents with pain, nausea, vomit, abdominal swelling, palpable abdominal mass, & elevated WBC followed by less severe localized pain. Supect of ?
In what syndrome would you find rudamentary gonads? (gonadal dysgenesis)
How does US assist when a baby has ambiguous genetalia?
determining sex assignment with internal organs
Female pseudohermaphrodite has ?
- masculinized external genetalia (clitoromegaly)
Adrenal Hyperplasia (increased androgen production)
Male pseudohermaphrodite has?
- fem external genetalia
decreased androgens , poor target organs &/or enzyme defect
Other rare ovarian masses seen ? (4)
- 1. Benign cystic teratoma
- 2. Serous Cystadenoma
- 3. Mucinous Carcinoma
- 4. Ovarian Fibroma (solid tumor assoc Meig’s Syndrome)
Name the malignant germ cell tumors. 5
- Endodermal Sinus Tumor
- Benign Cystic Teratoma
- Malignant Teratoma
- Embryonal Carcimona (highly malignant)
The MC germ cell malignant tumor is ?
Dysgerminoma's are MC malignant germ cell tumor occuring _______________ 90% of the time.
Sono of dysgerminoma?
- microlobulated (areas of hemorrhage & necrosis)
- advanced cases: retroperitoneal adenopathy, ascites & hepatic masses
Endodermal Sinus Tumor (malignant germ cell tumor) is ______________ and occurs before _______________. The growth is ____________ and it is a highly malignant tumor of the ___________ & ___________.
Sono of endodermal sinus tumor?
A malignant teratoma has _____________ components and peaks at ___________.
Embryonal carcinoma is ______________ and may lead to _____________ ______________.
- precocious puberty
A hormonal tumor that may invade the bladder & surrounding organs is ?
gonadal tumor (sex cord tumor)
This malignant tumor occurs to girls under one yr and all cases occur before 11 yrs of age.
Adenocarcinoma of uterus or vagina