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Problem about man presented with pubertal delay


Question:  20-year old man presented with pubertal delay. On examination he was of normal height and had a eunuchoid body shape. Pubic and axillary hair was sparse, the genitalia were pre-pubertal, and both testes were present in the scrotum. Plasma testosterone: 3.0 nmol/L (N 8.4-30), LH: 0.3 U/L (N 0.4 - 5.5), FSH: 1.2 U/L (N 0 - 16) i. Define the meaning of the terms primary hypogonadism and secondary hypogonadism. What type of hypogonadism is present in this patient? (i.e. at what level is the lesion?) ii. Suggest some possible causes of male primary (hypergonadotropic) hypogonadism. iii. Suggest some possible causes of male secondary (hypogonadotropic) hypogonadism. iv. Questioning of the patient revealed that he had no sense of smell, and had never had one. v. Does the finding of anosmia have any special significance in this context? Need Assignment Help?

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Other Subject: Problem about man presented with pubertal delay
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