Labels:bulletin board | hakham | vegetarianism OCR: DIAGNOSIS AND ASSESSMENT OF SEXUAL PRECOCITY cerum gonadotrophins? exceptionally high pubertal values low LHor hCG- levels (positive pregnancy test) in a boy steroids? sex steroids? sex testosterone? pubertal pubertal to high pubertal high GnRH test? autonomous gonadal tumour or example gonadotrophin -secreting large ovarian cyst: tumour testicular or tumour (possibly in central pubertal nervous system or Jiver tumour or gonadotrophin- independent Leydig centra precocious and germ cell puberty (possibly due maturation) or central nervous adrenal hyperplasia system tumour) tumour serum exceptionaliy puberta tost pubertai examnle svstem matmration adrena hypeiplasia