Notes: Results from problem with synthesis of cortisol and aldosterone in adrenal glands. Will see elevated 17-hydroxyprogesterone.
Question: Which disease is associated with these findings?
Delayed Puberty In Female
Category: generalpediatrics-Adolescent Care 2
Findings: no breast buds by age of 13, no menses within 2 years of SMR 4 breasts and pubic hair
Question: Which problem is associated with these findings?
Epididymitis
Category: generalpediatrics-Adolescent Care 2
Findings: fever, dysuria, urethral discharge, unilateral scrotal pain, relief of pain with elevation of scrotum
Notes: May be caused by Chlamydia, gonorrhea, E. coli
Question: Which disease is associated with these findings?
Exogenous Androgens
Category: generalpediatrics-Adolescent Care 2
Findings: pubic hair growth without testicular enlargement
Notes: Obtain ultrasound to look for adrenal masses in males or ovarian masses in females. Obtain FSH, LH, and adrenal steroid hormones levels to differentiate between central and peripheral causes.
Question: Which problem is associated with these findings?
Fibrocystic Disease
Category: generalpediatrics-Adolescent Care 2
Findings: most common breast disease, bilateral, tender, alleviated by oral contraceptives
Question: Which disease is associated with these findings?
Fitz-Hugh-Curtis Syndrome
Category: generalpediatrics-Adolescent Care 2
Findings: right upper quadrant pain, sexually active teenager, vaginal discharge, fever
Notes: Also known as perihepatitis and caused by N. gonorrhea, C. trachomatis, polymicrobial organisms. May cause pain that worsens with breathing and is referred to right shoulder.
Question: Which disease is associated with these findings?
Foreign Body
Category: generalpediatrics-Adolescent Care 2
Findings: menstrual bleeding at tanner stage 2
Notes: breast bud is first sign of puberty, some hair seen along labia
Question: What should you consider if a teenage girl has the following?
Growth Hormone
Category: generalpediatrics-Adolescent Care 2
Findings: Turner syndrome
Notes: Look for lack of breast development or just breast buds, amenorrhea, and scant hair
Question: With what medication may you treat the following condition?
Notes: Chancroid is caused by the gram negative rod Haemophilus ducreyi
Question: Which organism is associated with these findings?
Herpes Simplex
Category: generalpediatrics-Adolescent Care 2
Findings: white vaginal discharge, inguinal lymphadenopathy, pruritic and tender vesicular lesions
Question: Which organism causes the following?
Hypothyroidism
Category: generalpediatrics-Adolescent Care 2
Findings: short stature, overweight, delayed bone age, constipation, dry skin
Question: Which disease is associated with these findings?
Kallmann Syndrome
Category: generalpediatrics-Adolescent Care 2
Findings: anosmia, optic nerve hypoplasia, absent septum pellucidum, low central and peripheral hormones, micropenis
Notes: Due to isolated defect of hypothalamus not secreting necessary gonadotropin.
Question: Which disease is associated with these findings?
Klinefelter Syndrome
Category: generalpediatrics-Adolescent Care 2
Findings: gynecomastia, small testes, infertility, mildly decreased intelligence, tall stature, long arms, low upper to lower segment ratio
Notes: 47 XXY. Obtain a chromosomal analysis. Has higher chance of breast cancer.
Question: Which disease is associated with these findings?
Male Condom
Category: generalpediatrics-Adolescent Care 2
Findings: Most effective method to present STI besides abstinence
Question: Which fits this finding?
Motor Vehicle Accidents
Category: generalpediatrics-Adolescent Care 2
Findings: leading cause of adolescent morbidity and mortality
Notes: Motor vehicle accidents, followed by homicide.
Question: What describes below?
Orchitis
Category: generalpediatrics-Adolescent Care 2
Findings: lack of dysuria or discharge, unilateral scrotal pain, fever
Notes: Bilateral orchitis puts one at risk for infertility. If one side is atrophied, there is a increased risk of testicular cancer.
Question: Which disease is associated with these findings?
Premature Adrenarche
Category: generalpediatrics-Adolescent Care 2
Findings: pubic hair without breast development in female
Notes: Obtain bone age film. If more than one year from chronological age, refer to endocrinology. Look for source of androgen such as from exogenous, tumors, excess protection from ovaries, or early adrenal puberty.
Question: Which disease is associated with these findings?
Notes: May be treated with bromocriptine. If macroadenoma or greater than 10 cm, may need additional treatment.
Question: Which disease is associated with these findings?
Spermatocele
Category: generalpediatrics-Adolescent Care 2
Findings: painless mass, superior and posterior to testes, does not change with position
Notes: Also transluminate just like hydroceles. No treatment.
Question: Which issue is associated with these findings?
Syphilis
Category: generalpediatrics-Adolescent Care 2
Findings: painless punched out ulcer on dorsal penis, bilateral lymphadenopathy
Notes: Obtain RPR nontreponemal test first and confirm with treponemal test like FTA-ABS. Treat with penicillin G benzathine 2.4 million units IM. If patient is under 48 kg, treatment 50,000 units per kg IM.
Question: Which disease is associated with these findings?
Tanner Stage 3
Category: generalpediatrics-Adolescent Care 2
Findings: accelerated penile growth, curly hair at pubis, gynecomastia