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7 Cards in this Set

  • Front
  • Back
What are the recommended tests for ambiguous genitalia?
"FUUKED Large, Then Gone After 17"
FSH
US
Urine tests (17-ketosteroids)
Karyotype
Electrolytes
DHT
LH
Testosterone
Genitography
Anti-Mullerian hormone (MIS)
17-OH progesterone serum
After dx, what are the main issues to discuss before assigning gender?
1. potential for N sexual functioning and fertility
2. risk of gonadal malignancy
3. psychosocial outcomes of gender assignment
Mnemonic to remember issue re: gender reassignment:
"Male and Female PMS"
Malignancy risk
Appearance
Fertility potential
Psychosocial outcomes
Minimal medical procedures
Sexual fcn
ambiguous genitalia, 46, XX
CAH (female)
true hermaphrodite (ovotestis DSD)
ambiguous genitalia, 46, XY
impaired T synthesis
partial AIS
5a-reductase def
CAH (male)
MGD
leydig cell hypoplasia/dysgenetic testes
ambiguous genitalia, 45, XO/46, XY
MGD
Leydig cell hypoplasia/dysgenetic testes
ambiguous genitalia, 46, XX/46, XY
true hermaphrodite (ovotestis DSD)