RT Book, Section
A1 Loomba-Albrecht, Lindsey
A1 Styne, Dennis M.
A2 Kline, Mark W.
SR Print(0)
ID 1154147781
T1 Normal Pubertal Development
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1154147781
RD 2021/05/17
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.