Diagnosis of Precocious Puberty

Clinical – 

• History
•  
• Previous CNS infections
• Head trauma
• Any other chronic illness
• Family history of premature puberty

• Examination

• Tanner’s staging
• Careful CNS examination for focal deficits

Investigations –

• Ultrasound scan of the abdomen
• Serum FSH/LH
• Skull X-Ray
• X-ray of the wrist-for bone age

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