On these “Gold Standard Internal Medicine Facts” pages you will find Free:
- USMLE Audio Review files from our “Gold Standard USMLE Reviews”
- Transcriptions of those files
- And videos (as they become available)
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- Listening to the Audio
- Following along with the transcription
- Or by watching the video (if available)
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Let’s start our USMLE Review with Hypothyroidism and Hyperthyroidism from the Gold Standard USMLE Foundations of Medicine Audio Review program.
Play USMLE Audio MP3 10 06 Hypothyroidism in Children and Adolescents Below
Begin 10 06 Hypothyroidism in Children and Adolescents Transcription
Hypothyroidism in children is evidenced by what two signs?
- Retarded growth and mental retardation.
In the adolescent hypothyroid patient precocious puberty may occur.
What is Precocious puberty?
- Precocious puberty is a condition, usually pathologic in which pubertal changes begin at an unexpectedly early age.
In addition to short stature, enlargement of what saddle-like bony prominence on the upper surface of the body of the sphenoid bone is often seen in adolescent hypothyroid patients?
- Enlargement of the sella turcica.
This enlargement is probably due not to pituitary tumor but to pituitary hypertrophy associated with excess production of which hormone?
- Excess production of TSH (Thyroid-stimulating hormone).
Student doctor please pause the tape and summarize likely findings with a child and adolescent hypothyroid patient.
- Hypothyroidism in children is evidenced by retarded growth and mental retardation. Precocious puberty may occur in the adolescent hypothyroid patient in which pubertal changes begin at an unexpectedly early age. In addition to short stature, enlargement of the sella turcica is often seen in adolescent hypothyroid patients due not to pituitary tumor but to pituitary hypertrophy associated with excess production of TSH (Thyroid-stimulating Hormone).
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