Print This Page     Close Window Consult Request Guidelines for Early onset of sexual characteristics (breast onset before age 8 years in girls and testes enlargement before 9 years in boys)     Early onset of sexual characteristics (breast onset before age 8 years in girls and testes enlargement before 9 years in boys) Suggested Pre-Referral Evaluation and Management Guidelines   Suggested Additional Test/Management Prior to Specialty Visit Bone Age Girls: estradiol, LH FSH, pelvic ultrasound if there is vaginal bleeding Boys: testosterone and 17-OH progesterone Patient Education/Information (includes preps)   Appointment Timeframe   How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Hand carry Non-UM records to visit including growth chart Clinic Contact Information Physicians: please call M-LINE at 1-800-962-3555 and request to speak to the on-call pediatric endocrinologist Patient: 734-764-5175 Clinic Location Sites Taubman Health Care Center UM Consulting Physician Pediatric Endocrinology Faculty Revised on: 03/12/2009