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
If you have any query, just leave it on comments, I am always looking forward to answer them all.
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All your queries are most welcome. I will do my best to answer them all.