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Puberty - Coggle Diagram
Puberty
socially
Embarrassment
neglected by girls
parent relationship- ignoring
dismissed
less concerned- risk perception
" normal adolescents"
Soceital expectations
Normal teenage emotions
comparison
identity + confusion
isolated
impacts on confidence and self esteem
resentment
long term worries
Public health-
information gathering
websites
hormones
TSH - normal
stimulates thyroid
IGF- low
Manages growth or bones and muscles
Free T4- normal
growth and metabolism
testosterone- low
Growth of bones, muscles & secondary sex charcaterists
LH- low
stimulates testosterone
FSH- low
sperm production
Bone age
Left wrist radiograph and compare to averages
features
Shrill voice
1.45 m
34kg
15 Y/O
small genitalia
BSS
Long term worries + effects
sexual identity
Erikson's
teenagers
how to deal with
ages of consent
confidentialiy
parents aware + risk information
pateint centred
shared decision
" told what to do " expectation
Managing expectations
risks and chances of success
inheritance
mother
normal
father
normal but delayed
sister
normal
growth charts
diagnosis and treatments
dianostic
bone age
endocrine tests
tanner stage comparison
Height and weight
treatment
testosterone injection
Mode of action
Risks/ side effects
IV GnRH