Labels:keyboard | monitor | sky OCR: ASSESSMENT OF DEL AYED SEXUAL MATURATION physical and historical findings history short stature stigmata ot Turner's but growth trate compatible syndrome and 45X cell with delayed bone age line orof Klinefelter's and often family history syndrome and of the same? 47XXY cell line? yes yes consider constitutional serum Turner's syndrome or delay puberty gonadotrophins? Klinefelter's syndrome low high anosmia hyposmia? ves Kallmann's syndrome midline defect? yes congenital gonadal congenital hypothalamic congenital hypothalamic dysgenesis or acquired deficiency deficiency or acquired gonadal dysfunction deficiency (for example ifor example radiation brain tumour or autoimmune) hypogonadotrotrophic hypergonadotrotrophic hypogonadism hypogonadism Tumer consige gonadotroohins congenita autotmmun ...
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