TY - CHAP M1 - Book, Section TI - Normal Pubertal Development A1 - Loomba-Albrecht, Lindsey A1 - Styne, Dennis M. A2 - Kline, Mark W. Y1 - 2018 N1 - T2 - Rudolph's Pediatrics, 23e AB - Puberty can be considered a continuous process in which the hypothalamic-pituitary-gonadal axis develops from the infantile stages to maturity. The physical development of puberty can be denoted in an objective manner by sexual maturation ratings (SMRs), commonly referred to as Tanner stages. Staging provides an objective, consistent description of physical development, which allows recognition of precocious or delayed puberty or problems with the tempo of pubertal development. In girls, breast development and pubic hair development are usually, but not always coordinated, and should be documented separately. Similarly, in boys, genital development and pubic hair development are typically synchronous but should be described independently. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182920891 ER -