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Flashcards in Pituitary CIS Deck (10)
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1

hypopituitarism- 2 subtypes

-mass lesions (hypothalamus, pit)
-w/o mass lesions:
-congenital isolated hypogonadotropic hypogonadism
-acquired hypopituitarism
-sheehan syndrome
-funcitonal hypopituitarism

2

congenital isolated hypogonadtropic hypogonadism

-occurs in genes that cause prod of GnRH, LH, FSH:
-unnamed (many diff mutations)
-Prader Willi syndrome
-Kallmann syndrome
*occurs with congenital adrenal hypoplasia

3

Kallmann syndrome

-1/3 have def in GH
-dec sense of smell

4

Prader Willi syndrome

-insatiable appetite
-prone to emotional outbursts
-small hands and feet
-intellectual disabilities

5

prolactinoma- tx?

dopamine agonist
-cabergoline
-bromocriptine

6

prolactinoma- can also suppress what?

testosterone (low libido, sexual fxn)
-replace the testosterone!

7

Diabetes insipidus (ADH Def)- tx?

-desmopressin nose spray (DDAVP)
-MRI- rule out mass in post pit

8

Diabetes insipidus- if pt cant drink water, what would happen?

-dehydrated
-severe hypernatremia!!

9

inc release of GH- pt at risk for?

-diabetes
-osteoporosis
-gonadal dysfxn
-Heart dz
-GI cancer
-colyn polyps

10

after transsphenoidal approach- do what in postop period?

-replace corticosteroids!