term1 Definition1term2 Definition2term3 Definition3
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Precocious puberty
Mean Thelarche at 10.7+-1 yr
Mean Menarche at 12.7 +- 1 yr
Mean age between thelarche to menarche is 2.3+- 1 yr.
If super low LH & FSH with super high Estrogen (estrogen secreting tumour)
Short stature
GIRLS: peak ht at SMR 3 at rate of 8-9cm/ yr( 1 yr before menarche)
After menarche the ht gain is 7.5 cm/ yr andvgrowth 99% at 15 yrs.
BOYS : growth spurt 2yrs later than girls .
Peak ht velocity 9.5 -10 cm/yr at SMR 4.
GROWTH 99% @ 17 yrs.
Type 1 DM
Early initiation of transfer of care
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