Approach to primary amenorrhea Quiz: Ace Your Exams
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A 15-year-old girl presents to the clinic due to a lack of menses. She does not have headaches, vision concerns, or GI symptoms. Past medical history is non-contributory and family history is notable for breast cancer in her maternal grandmother at age 58. She is a high school sophomore who plays the flute in the school marching band, is not sexually active, and does not use alcohol, tobacco, or other recreational drugs. Her vital signs are within normal limits and her body mass index is 24.3 kg/m2. On exam, she has Tanner stage V breasts and stage I pubic hair. The physical exam is otherwise unremarkable except for a 2 cm palpable mass in the right inguinal region. Which of the following laboratory results and ultrasound findings would confirm the suspected diagnosis?
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