Tanner Stages

Front 1

What Tanner stage does the growth spurt & menarche occur?

Back 1

Tanner 3

The growth spurt usually occurs before Menarche- menarche typically starts around Tanner 3-4. They may grow an additional 1-2 inches after that, but most of their growth has occured.

Front 2

Delayed Breast development?

Back 2

1. No Breast development by age 14 years
2. No Breast development 5 years after Menarche

Front 3

At what tanner stage do women menstruate?
Primary amenorrhea?

Back 3

Predominantly Stage 4


AVERAGE:12.5 yrs (10-15 yrs)
occurs b/t breast development stages 3-4,

Primary amenorrhea= no menstruation before 16 yrs old

Front 4

Stage 3

Boys- penile development

Age?

Back 4

Penis elongates

@ 13 yrs

Front 5

Stage 4

Boys- penile development

Age?

Back 5

Penis enlarges in breadth and development of glans; rugae appear

@14 yrs

Front 6

Stage 5

Boys- penile development


Age?

Back 6

Adult shape and appearance

@ 15 yrs

Front 7

Stage 1

Breasts

Back 7

Preadolescent Breast

Front 8

Stage 2

Breasts

Age?

Back 8

Breast bud

@11 yrs

Front 9

Stage 3

Breasts

Age?

Back 9

Breast & Areolar enlargement without separate nipple contour

@ 11yrs

Front 10

Stage 4

Breasts

Back 10

Papilla (nipple) & areola project as secondary mound

@ 12 yrs

Front 11

Stage 5

Breasts

Age?

Back 11

Adult Breast


(Areola recedes
Nipples retract)

@ 13 yrs

Front 12

Stage 1

Pubic Hair

Back 12

Preadolescent

Front 13

Stage 2

Pubic Hair

Back 13

Scanty, at base/ labia

Male: 12 yrs
Female: 11 yrs

Front 14

Stage 3

Pubic Hair

Back 14

Hair darker, increased amount, curlier

Male: 13 yrs
Female: 12 yrs

Front 15

Stage 4

Pubic Hair

Back 15

Adult in character, smaller amount

Male: 14 yrs
Female: 12 yrs

Front 16

Stage 5

Pubic Hair

Back 16

Adult pattern

Male: 15 yrs
Female: 14 yrs

Front 17

Age range for Breast development?
Menarche?

Back 17

Breast dev: 8-13 yrs

Menarche: 10-15 yrs

Front 18

Average age of menarche

Back 18

12.5 yrs

Range: 10-15 yrs

Front 19

Average age for puberty for male?
Precocious Puberty is the development of secondary sex char before ___ yrs old.
Delayed Puberty is the lack of secondary sex char by ___ yrs old.

Back 19

10.5-16 yrs old
Precocious: before 9 yrs
Delayed: lack of changes by 14 yrs

Front 20

Average age for puberty for female?
Precocious Puberty is the development of secondary sex char before ___ yrs old.
Delayed Puberty is the lack of secondary sex char by ___ yrs old.

Back 20

8-13 yrs old (average age 11 yrs)

Precocious: before 8 yrs or menarche before 10 yrs
Delayed: lno breast development by 13 yrs OR no menses by 15-16 yrs.

Front 21

Precocious Puberty in Girls?

Back 21

Onset of puberty before 8 yrs in Girls and
menarche before age 10 years

Front 22

adrenarche

Back 22

early sexual maturation stage that typically occurs at around 6 to 8 years of age. During adrenarche the adrenal cortex secretes increased levels of androgens such as DHEA and DHEAS, but without increased cortisol levels.

Front 23

thelarche

Back 23

is the onset of secondary (postnatal) breast development, usually occurring at the beginning of puberty in girls

Front 24

pubarche

Back 24

the first appearance of pubic hair in a child.

Front 25

Order of pubertal changes in females?

Back 25

1 Breast budding under the areola (thelarche) 11 yrs
2 Pubertal fine hair over the mons pubis (adrenarche & pubarche) 11 yrs
3 Menarche (12.5 yrs)

Front 26

Average age of onset of female puberty is?

Back 26

11 years
range of 8-13 yrs

Front 27

Delayed puberty in females occurs at what age?

Back 27

No breast development by age 13 yrs OR no menses by 15-16 yrs

Front 28

Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotal skin darker

Name the Tanner Stage?

Back 28

Stage 4

Penile development

Front 29

Further enlargement of breast and areola; no separation of contour

Name the Tanner Stage?

Back 29

Stage 3

Breast development

Front 30

Breast development 1-2 years after 1st period

Name the Tanner Stage?

Back 30

Stage 4
May be stage 5

Breast development

Front 31

Breast development at menarche (1st period)
Name the Tanner Stage?

Back 31

Tanner 3

Front 32

Delayed Menses?

Back 32

No Menses by age 16 years (Primary Amenorrhea)

Front 33

When does therlarche occur?

Back 33

Breast development Tanner stage 2

Front 34

Breast development at about 1 yrs old

Name the Tanner Stage?

Back 34

Tanner 2

Front 35

What Tanner Stage does spermarche occur?

Back 35

Occurs shortly after genital stage 3

Front 36

"Breast bud" forms below the areola


Name the Tanner Stage?

Back 36

Stage 2

Breast development

Front 37

The areola forms a secondary mound above the contour of the breast


Name the Tanner Stage?

Back 37

Stage 4

Breast development

Front 38

Recession of the secondary mound with smooth contour of the breast


Name the Tanner Stage?

Back 38

Stage 5

Breast development

Front 39

There is gowth of sparse straight hair, primarily at the base of the penis or along the labia?

Name the Tanner Stage?

Back 39

Stage 2


Pubic hair development

Front 40

Pubic hair that resembles adult pubic hair, although the escutcheon covers a smaller area than seen in adults


Name the Tanner Stage?

Back 40

Stage 4


Pubic hair development

Front 41

Hair increased in quantity and is darker and curlier

Name the Tanner Stage?

Back 41

Stage 3


Pubic hair development

Front 42

There may be fine vellus hair that is no different from that found over the abdominal wall

Name the Tanner Stage?

Back 42

Stage 1


Pubic hair development

Front 43

Pubic hair has increased further in volume, spread onto the medial thighs, and taken on characteristic male or female configuration

Name the Tanner Stage?

Back 43

Stage 5


Pubic hair development

Front 44

There is a growth of sparse straight hair, primarily at the base of the penis or along the labia

Name the Tanner Stage?

Back 44

Stage 2


Pubic hair development

Front 45

Penis enlarges in breadth and development of glans; rugae appear

Back 45

Stage 4


Penile development

Front 46

Adult genitalia occurs in which stage?

Name the Tanner Stage?

Back 46

Stage 5

Penile development

Front 47

Breast buds with areolar enlargement

Name the stage?

Back 47

Tanner 2

Breast development

Front 48

Penis enlarges in breadth and development of glans; rugae appear


Name the stage?

Back 48

Tanner 4

Penile development

Front 49

Hair is darker, increased amount curlier


Name the stage?

Back 49

Tanner 3

Pubic hair development

Front 50

Breast enlargement without separate nipple contour


Name the stage?

Back 50

Tanner 3

Breast development

Front 51

Hair spreads to thighs


Name the stage?

Back 51

Tanner 5

Pubic hair development

Front 52

Areola recedes, nipple retracts


Name the stage?

Back 52

Tanner 5

Breast development

Front 53

Areolar and nipple project as secondary mound


Name the stage?

Back 53

Tanner 4

Breast development

Front 54

Penis elongates


Name the stage?

Back 54

Tanner 3

Penile development

Front 55

Hair is sparse, pale, fine


Name the stage?

Back 55

Tanner 2

Pubic hair development

Front 56

Adult in character, but hair is not as voluminous


Name the stage?

Back 56

Tanner 4

Pubic hair development

Front 57

Mature stage; Projection of papilla only, related to recession of areola

Name the Tanner Stage?

Back 57

Stage 5

Breast development

Front 58

Enlargement of scrotum and testes; scrotal skin reddens and changes in texture; growth of testes to 4 cc or geater in volume

Name the Tanner Stage?

Back 58

Stage 2

Penile development

Front 59

Prepubertal; testicular size less than 4 cc in volume and 2.5 cm in longest dimension

Name the Tanner Stage?

Back 59

Stage 1

Penile development

Front 60

Areola and papilla form secondary mound above the level of breast

Name the Tanner Stage?

Back 60

Stage 4

Breast development

Front 61

Enlarge of penis (length at first; further growth of testes)

Name the Tanner Stage?

Back 61

Stage 3

Penile development

Front 62

Breast bud

Name the Tanner Stage?

Back 62

Stage 2

Breast development

Front 63

SMR

Back 63

Sexual Maturity Rating

Front 64

Delayed puberty in males occurs at what age?

Back 64

lack of changes by 14 yrs

Front 65

Average age of onset of male puberty is?

Back 65

10.5 -16 yrs

Front 66

Precocious Puberty in boys

Back 66

Onset of puberty before 9 in boys (often pathological etiology in males)

Front 67

Adrenarche for males is evidenced by?

Back 67

pubic hair development at the base of the penis

follows testicular enlargement

Front 68

testicular size > _____ cm indicates puberty has begun?

Back 68

testicular size > 2-2.5 cm indicates puberty has begun

Front 69

Order of male changes in puberty?

Back 69

1 testicular enlargement (testicular size > 2-2.5 cm indicates puberty has begun)
2 pubic hair development at the base of the penis (adrenarche)
3 Penile growth
4 Axillary, facial hair, deepening of voice happens later in puberty

Front 70

In relation to puberty, when does the growth spurt occur?
Lasts?
Peaks?

Back 70

Tanner 3

1 yr after testicular changes
lasts about 2-4 yrs and peaks after 1.5 yrs

Front 71

Penile growth occurs approx how long after testicular enlargement?
About how much does it grow?

p 40

Back 71

Penile growth occurs approx 6-12 months after testicular enlargement
penis grows from a prepubertal size of 3.5- 5.5 cm to an adult length of 12 cm (7.5-15.5 cm)

Front 72

Stage 1

Boys- penile development

Back 72

Preadolescent testes, scrotum, penis

Front 73

The testes and scrotum continue to enlarge, with continued lengthening of the penis and enlargement of the glans

Name the Tanner Stage?

Back 73

Stage 4


Penile development

Front 74

Escutcheon

Back 74

the pattern of distribution of coarse, adult pubic hair, rhomboid in the male and triangular in the female.

Front 75

Vellus

Back 75

Vellus hair is short, fine, light-colored, and barely noticeable hair that develops on most of a person's body from his/her childhood.

Front 76

Papilla

Back 76

Nipple

nipple-like structure
Mammary papilla, can be renal etc, other parts of the body

Front 77

Stages of hair

Back 77

Vellus hair replaces lanugo hair on a human fetus at 36 to 40 weeks of gestation.Then terminal hair. at puberty ( etc. armpit, pubic area)
In men, this change in vellus hair occurs on the face and the body @ puberty

Front 78

Female Escutcheon

Back 78

patch of pubic hair
The normal female escutcheon is a triangle pointing downward, sharply cut off at the level of the pubic symphysis

Front 79

Rhombus

Back 79

Pattern of male escutcheon

diamond-shaped with both downward and upward angles

Front 80

thelarche

Back 80

Breast Development

Front 81

Breast development as a child
Name the Tanner Stage?

Back 81

Tanner 1

Front 82

Average age of thelarche

Back 82

11.15 years

8.5 to 13 years

Front 83

Acne Vulgaris develops around?

Back 83

(13.2 years)

Front 84

Adrenarche?

When does this occur?

Back 84

Increased adrenal androgen secretion
Occurs between ages 6 to 8 years

Front 85

When does axillary hair grow?

Back 85

Right before they finalize their gowth spurt, after menarche, b/t breast dev stage 3 and 4- closer to stage 4 (about 2 yrs after stage 2)

Front 86

Axillary hair develops at what age?
When in the Tanner Stage?

Back 86

Axillary hair develops (13.1 years)

After breast development
Tanner 5

Front 87

Mean age of Tanner Stage 4?

Back 87

13.1 years

(10.5-15.3 years)

Front 88

Virilization

Back 88

Development of male secondary sexual characteristics
exaggerated masculine characteristics, usually in women, often as a result of the adrenal glands overproducing androgens

Front 89

Precocious Puberty in Girls for Breast development?

Back 89

White: Before age 7 years
Black: Before age 6 years

Front 90

Precocious Puberty in Girls for pubic hair development?

Back 90

Pubic Hair

White: Before age 7 years
Black: Before age 6 years

Front 91

Precocious Puberty in boys?

Back 91

1.Pubic hair before age 9 yrs
2.Testes > 2.5 cm (>3 ml vol) before age 9 years

Front 92

The age attainment of stage three in Tanner's study?

Back 92

12.15 years
(menstruation)

(9.9-13.9 years)

Front 93

Stage 2

Boys- penile development

Age?

Back 93

Enlargement of scrotum and testes; scrotum roughens and reddens

@ 12 yrs

Front 94

Breast development when grown up

Name the Tanner Stage?

Back 94

Tanner 5

Front 95

Delayed development in boys?

Back 95

1.Testicular length under 2.5 cm by age 14 years
2.Genital growth not complete five years from start
of puberty

Front 96

In comparison to females usually develop at about what time in comparison to males?

Back 96

Females usually develop about 1 to 1.5 yrs before males.

Front 97

How long after Tanner Stage 2 can you expect the onset of menses?

Back 97

About 2 yrs after "breast budding" in Stage 2

Front 98

In the Tanner study, the mean attainment of
stage 5 was ?

Back 98

15.3 years with a range of 11.8-18.9 years

Front 99

Tanner stages are done for? p 40

Back 99

1 Girls-Breast & Pubic hair
2 Boys- penis and pubic hair
3 Pubic Hair (boys and girls)

Front 100

When does the PHV usually occur?

Back 100

Peak Height Velocity

The beginning of the increase in growth velocity is about age 11 in boys and 9 in girls but varies from indiv to indiv.
mean of 13.5 years in boys
11.5 years in girls.

Front 101

The average growth spurt lasts about how many months?

Back 101

Pubertal growth accounts for about 20% of final adult height, a total averaging 23-28 cm in females and 26-28 cm in males. The average growth spurt lasts 24-36 months.

Front 102

Tanner Stages Breast Development

Back 102

Front 103

Tanner Breast development

Back 103

Front 104

Breast Development

Back 104