Role of TSH and bone age here?
TSH, T3 Hormone : suspicion of hypothyroidism
X-ray of the left hand and wrist : allows comparison between skeletal maturation and chronological age
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assess and confirm accelerated bone growth
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Bone age is within 1yr of a child’s age : puberty likely has not started
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Bone age is > 2yrs of the child’s age : puberty has been present for a year or longer