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7 Cards in this Set
- Front
- Back
What are the recommended tests for ambiguous genitalia?
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"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 |
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After dx, what are the main issues to discuss before assigning gender?
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1. potential for N sexual functioning and fertility
2. risk of gonadal malignancy 3. psychosocial outcomes of gender assignment |
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Mnemonic to remember issue re: gender reassignment:
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"Male and Female PMS"
Malignancy risk Appearance Fertility potential Psychosocial outcomes Minimal medical procedures Sexual fcn |
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ambiguous genitalia, 46, XX
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CAH (female)
true hermaphrodite (ovotestis DSD) |
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ambiguous genitalia, 46, XY
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impaired T synthesis
partial AIS 5a-reductase def CAH (male) MGD leydig cell hypoplasia/dysgenetic testes |
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ambiguous genitalia, 45, XO/46, XY
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MGD
Leydig cell hypoplasia/dysgenetic testes |
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ambiguous genitalia, 46, XX/46, XY
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true hermaphrodite (ovotestis DSD)
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