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A 14-Year-Old Girl Is Brought to the Office for a Routine

question 602

Multiple Choice

A 14-year-old girl is brought to the office for a routine physical examination. The patient is starting high school and is going to be on the school's cross-country team. She has no concerns today. She is healthy and takes no daily medications. Family history is significant for hypertension in her mother. The patient has not undergone menarche and is not sexually active. Height and weight are at the 25th percentile for age. Physical examination shows sexual maturity rating (Tanner) stage 1 breast development. The abdomen is soft, nontender, and nondistended. A small, nonreducible mass is palpated in the left inguinal area. On pelvic examination, the external genitalia appear normal, and there is no pubic hair. The vagina ends in a blind pouch. Sonogram confirms the absence of a uterus, cervix, and ovaries. Karyotype is 46,XY. Which of the following is the best next step in management of this patient?

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Definitions:

Minor Illnesses

Health conditions that are not severe or life-threatening, often treatable with minimal medical intervention.

Early Childhood

A developmental period in human life, generally considered to be from birth to eight years old, where rapid growth and learning occur.

Pragmatics

The branch of linguistics dealing with the use of language in social contexts and the ways in which people convey meaning through communication.

Social Situation

Any scenario in which individuals are interacting or are present in the same environment, influencing each other's thoughts, feelings, and behaviors.