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- 1. بسم الله الرحمن الرحيم جامعة ام درمان الأسلامية كلية الطب والعلوم الصحية OBESTRICTIC PROBLEM Patch16-Group4 ezpaseva
- 13. ABNORMAL PUBERTY Puberty and pubertal changes may occur earlies than normal menstruation + secondary sexual characters become early in life 8-9 years or even 3-4 years of age Puberty and pubertal changes has not developed on 16-17 years old DEFINITION Precocious puberty Delayed puberty Subjective
- 14. 1. Idiopathic 2. Intracranial lesion 3. Adrenal gland ,ovarian and Thyroid problem 4. Drugs Either constitutional or pathological The pathological causes: 1- chromosomal abnormalities 2- Hypothalamic ,pitutary, Thyroid,Adrenal gland, Ovarian and Uterine causes CAUSES PRE puberty D puberty Subjectives
- 15. The Idiopathic treated by:- 1- proestrogens 2- Danazol 3- Cyproteroneac- etate 4- LHRHanalogues ----- TREATMENT PRE puberty D puberty Subjectives
- 17. GnRH
- 18. FSH & LH
- 27. 2-Anti androgen. 3-corticosteroids. 4-promocriptin. 5-Insulin sensitive drugs. 6-surigcal . 7-diet. Treatment: 1- oral contraceptive.
- 34. - Hypogondism produce by prolactinomas is associated with osteoporosis due to estrogen deficiency. Treatment : Bromocriptine or other dopamine agonist - surgical. -Radio therapy.