Struck

Endocrine System


Step 1: View Clinicals

{"ops":[{"insert":"A 16-year-old girl presents with poor growth for four years. Her growth and development were normal before this, and her appetite and food intake remain satisfactory.\n\nAt age 12, she was a passenger in a motor vehicle collision, where she suffered a moderate traumatic brain injury (GCS of 12), requiring hospitalization for around a week. There were no intracranial hemorrhages and she did not require neurosurgical intervention.\n\nHer family history is unremarkable. Her performance at school is satisfactory. She has not attained menarche yet. A complete blood count, metabolic panel, liver function tests, urinalysis, and ESR are all within normal limits.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-037_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Endocrine profile
2. Pelvic ultrasound
3. X-ray B/L wrists
4. MRI brain

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