A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has n…

Question

A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has not started to change. His height has followed the 10th centile since he was five and his weight the 15th. He has no chronic illness, no headaches and a normal sense of smell. Each testis measures 5 mL by orchidometer and the scrotal skin is thin and reddened. There is no pubic or axillary hair and the penis is prepubertal in size. Which one of the following is the most appropriate manage…

Accepted Answer

Reassure and review in six months

Answer

Measure serum luteinising hormone and testosterone

Answer

Order a bone age radiograph

Answer

Refer to a paediatric endocrinologist

Answer

Start a short testosterone course

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