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Delaying epiphyseal closure
Jan 26, 2009 02:54PM in the Pediatric Endocrinology Expert Forum
A bone age is a radiological evaluation of growth plates taken for the left hand and wrist, it is compared to standards in an atlas, most commonly used is the Gruehlich and Pyle Atlas, it is very very subjective in regards to one person's interpretation versus another's. We usually never get repeat bone ages any sooner than 6 months apart, the bones just don'...
advanced bone age
Jan 26, 2009 02:37PM in the Pediatric Endocrinology Expert Forum
Lisa, a stimulation test (stim test) is an endocrine term for a test to assess a hormone response to a stimulus. It helps us assess for deficiencies or overproduction of hormones. In regards to puberty the test to see if the brain is maturely signalling is called a leuprolide stim test, a medication called leuprolide is given and levels of the pituitary puber...
A 3rd follow-up on Newborn with Low Normal T4 and High TSH
Jan 05, 2009 12:20PM in the Pediatric Endocrinology Expert Forum
given this unusual history of iodine exposure it is more than likely the cause-iodine is needed in the production of thyroid hormone, it is also used as a topical wound cleanser and antibiotic like substance(preoperatively as well) but chronic use on a daily basis is very rare and not expected. The iodine use can lead to goiter and rise in tsh. I would monit...
Premature adrenarche
Jan 05, 2009 12:11PM in the Pediatric Endocrinology Expert Forum
This is premature adrenarche, the early production of the male hormones from the adrenal glands, when they are produced early or in excess it is important to rule out abnormal reasons. One important cause that is rare and often screened for at birth is congenital adrenal hyperplasia, this is a block in the enzymes that the adrenal glands make and there is a b...
Growth Hormone Deficiency
Jan 05, 2009 12:09PM in the Pediatric Endocrinology Expert Forum
She is definitely short and body weight is too high for her height, glad to see you saw an endo. She is gh deficient and this is a very good reason for central obesity(more weight around the tummy) and short stature!!! Do not feel overwhelmed, this is good news, she has a chance for treatment, the mri is done on all of my patients before treatment is started,...
lumpy thyroid
Jan 05, 2009 12:04PM in the Pediatric Endocrinology Expert Forum
Hashimoto's is an autoimmune thyroid disease that causes enlargement of the gland and yes, it can feel enlarged with lumpy bumpy appearance but the ultrasound usually shows overall enlargement and rules out a cyst or nodule that may need monitoring. Waiting 2 months as long as she is well is not unreasonable especially if there is not one area that is overly ...