This manual is a combination and revision from the assessment of
sexual maturity stages developed for the PROS study on girls in
1995 and for the PROS puberty study on boys in 2005. It will assist
the pediatric health care provider in learning how to assign the
stages of the physical changes of pubertal development using the
system described by Marshall and Tanner as well as correct
techniques for breast palpitation and testicular measurement. This
manual uses the classic photographs of Tanner and van Wieringen as
well as many taken specifically for this resource.
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