Hey, I need help on getting 3 diagnosis for this case study?
Question by david t: Hey, I need help on getting 3 diagnosis for this case study?
Jenny was born with what appeared to be an enlarged clitoris, although neither her parents nor the doctor questioned the abnormality. Now, at 13 years old, Jenny’s girlfriends are developing breasts and having menstrual periods, but she is experiencing none of these changes. In fact, her voice is deepening, she is becoming muscular like the boys, and her enlarged clitoris is growing larger. On physical examination, she had no ovaries, no uterus, a blind vaginal pouch, a small prostate, a penis, descended testes, and hypospadias (urethral opening low on the underside of the penis). She had a male musculature, but no body hair, facial hair, or acne. Her genotype was confirmed as 46, XY, and blood work showed a high-normal level of testosterone and a low level of dihydrotesterone.
Jenny was born with what appeared to be an enlarged clitoris, although neither her parents nor the doctor questioned the abnormality. Now, at 13 years old, Jenny’s girlfriends are developing breasts and having menstrual periods, but she is experiencing none of these changes. In fact, her voice is deepening, she is becoming muscular like the boys, and her enlarged clitoris is growing larger. On physical examination, she had no ovaries, no uterus, a blind vaginal pouch, a small prostate, a penis, descended testes, and hypospadias (urethral opening low on the underside of the penis). She had a male musculature, but no body hair, facial hair, or acne. Her genotype was confirmed as 46, XY, and blood work showed a high-normal level of testosterone and a low level of dihydrotesterone.
