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203: The endocrine system > Pituitary > Flashcards

Flashcards in Pituitary Deck (6)
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1

Structures that is:
- Superior
- Inferior
- Lateral

To the pituitary

Superior
- Diaphragma sellae

Inferior
- Sphenoidal air sinuses

Lateral
- Cavernous sinuses

2

Pituitary apoplexy
- Description
- Presentation

Bleeding into or impaired blood supply to the pituitary

Presentation
- Sudden headache
- Nausea/ vomitting
- Visual field disturbane
- Altered level of consciousness

3

Grading of pituitary tumours

Hardy
- Plain X-ray

Fahlbusch
- CT/ MRI of tumour size

Knosp
- Cavernous sinus invasion

4

Medical treatment of tumour

Prolactin
- DA agonist

Somatostatin analogues
- Octreotide

Cushings
- Ketoconazole

Replacement therapy (hypopituitarism)

5

Indications for surgery

Mass effect tumour (macroadenoma)
- Riased IC pressure

Pituitary dependant Cushings disease

GH secreting tumour

Prolactinoma
- When medical treatment failures

TSHoma

6

Craniopharyngioma

Tumour commonly affecting children
- Pituitary gland embryonic origin (Rathke's pouch)

Half of all suprasellar tumours in children