Review Note

Last Update: 06/10/2024 12:58 AM

Current Deck: SLS Cards::10. Pediatric growth and nutrition

New Card (Unpublished)

Currently Published Content


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No published tags.

Pending Suggestions


Field Change Suggestions:
Describe primary versus secondary amenorrhea
Primary = no prior menstruation
  • No period by 15 or within 3 years of thelarche
  • No period by 13 and no evidence of secondary sex characteristics
  • DDx
    • Uterus and outflow tract
      • Mullerian agenesis
      • Imperforate hymen
    • Hypothalamus
      • Hypothalamic amenorrhea
    • Pituitary
      • Pituitary adenoma
    • Ovary
    • Genetic or chromosomal
    • Chronic illnesses
    • Nutritional deficiencies
Secondary = cessation of menses
  • No period for 3 months
  • < 9 cycles per year
  • DDx
    • Pregnancy
    • Hypothalamus
    • Pituitary
      • Breastfeeding (high prolactin --> suppresses pituitary)
      • Contraceptives, hormonal
      • Thyroid disorders
    • Ovary
      • Menopause
      • PCOS
    • Medications
    • Chronic illness/ stress
    • Eating disorders
    • Excessive exercise