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This Concept Map, created with IHMC CmapTools, has information related to: week 40 ignacio espinosa, Serum hormone levels Normal LH, GIPP Suggesting Serum hormone levels, Ignacio Espinosa 7 YOM Hispanic CC: 'changes... in little Iggy' Presents with Pubic and axilla hair, DHEA to DHEAS, Precocious puberty Can be caused by increased Testosterone, DHEA is converted to Androstenedione, Penile Enlargement Consistent with Pubic and axilla hair, Linear growth of Bones, Serum hormone levels Normal Cortisol, Testosterone Leads to Linear growth, Serum hormone levels Normal FSH, ACTH stimulation test Showed "non classical" 17a-hydroxyprogesterone level, Precocious puberty Suggesting a Electrolytes, Adrenal cortex Leading to Congenital adrenal hyperplasia, HPG axis Leads to decreased GnRH, Testosterone Have negative feedback on HPG axis, Glucocorticoid therapy Prescribed to Ignacio Espinosa 7 YOM Hispanic CC: 'changes... in little Iggy', Congenital adrenal hyperplasia Compensating for low Cortisol, Testosterone Can initiate Puberty, Serum hormone levels Elevated Testosterone