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OCR: The physician must decide whether a b without fourteen years or a girl of thirteen years rbour an signs of pubertal development might h on of the organic disorder or simply have a varia ational normal developmental pattern - constit al factors delay in growth and adolescence. Histor istitutional may help to confirm the diagnosis of co teristic for delay (Fig. 13.27). If the story is not chara d if the one condition or the other, however, an diagnosis physical examination does not add to th c anomaly, by the demonstration of some phenotyp laboratory diagnosis is necessary,