 McCune-Albright syndrome

 Profound primary hypothyroidism

 Juvenile granulosa cell tumor

 Central precocious puberty

 Isolated functional ovarian cyst

 Premature menarche
 Hormone level (LH, Estrogen, progesterone,
testosterone)
 Thyroid Function test
 Ultrasound- trans abdominal/transvaginal
 CT scan
 MRI