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Questions and Answers
What is the patient's chief complaint?
Which Tanner stage describes the patient's breast development?
What is the patient's estradiol level?
What is the diagnosis based on the given details?
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What treatment was prescribed for the patient?
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Study Notes
Delayed Puberty in a 17-year-old Female
- Delayed puberty is characterized by Tanner V breast development and Tanner II pubic hair, with no menstruation.
Physical Examination Findings
- Physical examination reveals Tanner V breast development and Tanner II pubic hair.
Laboratory Results
- FSH levels are 3 mIU/mL, indicating low follicle-stimulating hormone.
- LH levels are 1 mIU/mL, indicating low luteinizing hormone.
- Estradiol levels are 40 pg/mL, indicating low estrogen levels.
- Prolactin levels are 10 ng/mL, indicating normal prolactin levels.
- TSH levels are 2 uIU/mL, indicating normal thyroid-stimulating hormone levels.
- Free T4 levels are 1.2 ng/dL, indicating normal free thyroxine levels.
- Cortisol levels are 15 ug/dL, indicating normal cortisol levels.
- IGF-1 levels are 350 ng/mL, indicating normal insulin-like growth factor-1 levels.
Diagnosis and Treatment
- The diagnosis is hypogonadotropic hypogonadism, a condition characterized by low levels of gonadotropins (FSH and LH) and sex hormones.
- The treatment is oral contraceptive pills, which can help regulate hormone levels and stimulate puberty.
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Description
Diagnosing delayed puberty in a 17-year-old female with no menstruation, Tanner V breast development, and Tanner II pubic hair. Analyzing physical examination findings and laboratory results to identify the underlying cause.
