Paeds Vivas · adolescent-and-young-adult-medicine
Normal puberty and adolescent development — branching viva
Branching viva on pubertal physiology, Tanner staging, the normal sequence, normal variants, and the referral thresholds for abnormal timing.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in clinic. The examiner will move from pubertal physiology to staging, normal variants, a precocious-puberty stem and a delayed-puberty stem.
Stem
The examiner will test whether you understand normal puberty well enough to stage it, distinguish normal variants from pathology, and defend your referral decisions. [1] [2]
References8ShowHide
- [1]Marshall WA, Tanner JM Variations in pattern of pubertal changes in girls. Archives of disease in childhood, 1969.PMID 5785179
- [2]Marshall WA, Tanner JM Variations in the pattern of pubertal changes in boys. Archives of disease in childhood, 1970.PMID 5440182
- [3]Carel JC, Léger J Clinical practice. Precocious puberty. The New England journal of medicine, 2008.PMID 18509122
- [4]Palmert MR, Dunkel L Clinical practice. Delayed puberty. The New England journal of medicine, 2012.PMID 22296078
- [5]Latronico AC, Brito VN, Carel JC Causes, diagnosis, and treatment of central precocious puberty. The lancet diabetes & endocrinology, 2016.PMID 26852255
- [6]Harrington J, Palmert MR An Approach to the Patient With Delayed Puberty. The Journal of clinical endocrinology and metabolism, 2022.PMID 35100608
- [7]Herbison AE Control of puberty onset and fertility by gonadotropin-releasing hormone neurons. Nature reviews. Endocrinology, 2016.PMID 27199290
- [8]Smith CE, Biro FM Pubertal Development: What's Normal/What's Not. Clinical obstetrics and gynecology, 2020.PMID 32482957