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Cases

1.You are a family doctor in an average-sized city. You have a female patient in your practice who is pregnant. You are responsible for her care and have agreed to be at her delivery. She delivers a baby without any complications and you tell her that it’s a girl. The next day when you examine the baby, you notice that her genitalia are more ambiguous than you first thought. What, if anything, would you tell the mother? What would you do next?
2.You are an obstetrician/gynecologist to whom a 16 year old girl has been referred because of primary amenorrhea. Her karyotype comes back as 46 XY and her ultrasound shows testes in the abdomen. What do you tell her? What do you tell her parents? What do you do next?