Abstract
Puberty is a dynamic period of physical growth, sexual maturation, and psychosocial achievement that generally begins between age 8 and 14 years. The age of onset varies as a function of sex, ethnicity, health status, genetics, nutrition, and activity level. Puberty is initiated by hormonal changes triggered by the hypothalamus. Children with variants of normal pubertal development--both early and late puberty--are common in pediatric practice. Recognizing when variations are normal and when referral for further evaluation is indicated is an important skill.
MeSH terms
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Adolescent
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Adolescent Medicine / methods
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Affect
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Age Factors
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Anthropometry / methods
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Body Image
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Causality
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Child
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Female
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Growth / physiology
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Humans
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Male
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Mass Screening / methods
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Medical History Taking
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Nursing Assessment / methods
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Pediatric Nursing / methods*
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Physical Examination / methods
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Physical Examination / nursing
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Puberty* / physiology
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Puberty* / psychology
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Puberty, Delayed / diagnosis*
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Puberty, Delayed / etiology
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Puberty, Delayed / therapy
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Puberty, Precocious / diagnosis*
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Puberty, Precocious / etiology
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Puberty, Precocious / therapy
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Sex Characteristics
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Time Factors