• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

Abstract Introduction External genitalia are considered to be ambiguous whenever there is difficulty assigning gender a child based on the appearance of external genitalia. It common presentation Disorders Sexual Development (DSD). Objective Reported here case 22year old single undergraduate identified as female who had disorder sexual development with resulting from congenital adrenal hyperpla...

Background: Common types of Congenital penile anomalies (CPA) in children are; Hypospadias, Penile chordee, Micropenis, Hidden penis, Ambigous genitalia, Apenia and Unspecified genital or anomalies. Aim & objectives: The goal the work was to assess prevalence abnormalities prepubertal children. Subjects methods: research carried out outstudied case clinics Al-Azher University hospitals, on ...

Introduction: Steroid cell tumors (SCTs) constitute less than 0.1% of all ovarian tumors. They are divided into 3 categories according to cell of origin: Stromal Luteoma arising from stromal cells of the ovary, Leydig cell tumor arising from Leydig cells, and SCT not otherwise specified (NOS) when the origin of the tumor is not defined. Case Presentation:...

Conditional sentences with quantifying expressions are systematically ambigous. In one reading, the if -clause restricts the domain of the overt quantifier; in the other, the if -clause restricts the domain of a covert quantifier, which defaults to epistemic necessity. Although the ambiguity follows directly from the LewisKratzer line on if, it is not generally acknowledged, which has led to ps...

The b-u skewed parton distributions (SPDs) are discussed. The SPDs allow an un-ambigous superposition of overlap and resonsance contributions and their zeroth order moments represent the B → π transition form factors. The values of the form factors at maximum recoil are found to be F + (0) = F 0 (0) = 0.22 ± 0.05 in agreement with measurements of the B → ππ branching ratio. The branching ratios...

We reconstruct the tachyon effective action for unstable D-branes in superstring theory by examining its behaviour near exactly marginal deformations, where the ambigous higher derivative terms can be eliminated. We then compare this action with that obtained in boundary string field theory and find remarkable agreement. In particular, the tension for lower dimensional branes and the BI-action ...

background: congenital adrenal hyperplasia (cah) and vanishing testes are uncommon diseases that can result from hormonal and mechanical factors. classic cah is determined by ambiguous genitalia and increase in amount of 17-hydroxyprogesterone. simultaneous occurrence of cah and vanishing testes is a rare condition. case: a 22-year-old boy, known case of cah who was diagnosed as female pseudohe...