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Precocious puberty

  • Common ddx

    • normal variant
    • exogenous hormones, steroids
  • Serious ddx

    • brain tumor
    • adrenal tumor
    • testicular tumor
    • ovarian tumor
  • Labs

    • chem (Na, K)
    • testosterone, estradiol, hCG, AFP
    • ACTH test
    • MRI if suspect brain tumor
    • ultrasound if suspect gonadal tumor
    • CT if suspect adrenal tumor
    • endocrine consult
  • Other ddx

    • CAH
    • McCune-Albright

  • Print | Citations

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