Pituitary adenoma physical examination: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(10 intermediate revisions by 2 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
The presence of altered mental status, nausea, and visual filed defect ([[bitemporal hemianopsia]]) on physical examination is highly suggestive of pituitary adenoma.
The presence of [[altered mental status]], [[hyperthermia]], [[tachycardia]], [[tachypnea]] and [[visual field defect]] ([[bitemporal hemianopsia]]) on [[physical examination]] is suggestive of pituitary adenoma.
==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
*Based on the size of the adenoma and type of the hormone that being secreted patient may appears lethargic, nauseated, drowsy,  obese, thin, or diaphoretic. However, patient may also appears well.
*Based on the size of the adenoma and type of the hormone that is being secreted patient may appear [[lethargic]], [[Nausea and vomiting|nauseated]], [[Drowsiness|drowsy]][[obese]], thin, or [[diaphoretic]]. However, patient may also appears well.


===Vitals===
===Vitals===
====Temperature====
====Temperature====
*[[Hyperthermia]]may be present
*[[Hyperthermia]] may be present
 
====Pulse====
====Pulse====
=====Rate=====
=====''Rate''=====
[[Tachycardia]] may be present
*[[Tachycardia]] may be present
=====Rhythm=====
 
=====''Rhythm''=====
*The pulse is regular
*The pulse is regular
=====Strength=====
=====''Strength''=====
*The pulse may be bounding
*The pulse may be bounding
====Blood Pressure====
====Blood Pressure====
Line 24: Line 26:
*[[Tachypnea]] may be present
*[[Tachypnea]] may be present
===Neurologic===
===Neurologic===
* Mental status may be altered
*[[Altered mental status|Mental status may be altered]]
* Hyperactive reflexes may be present
*[[Hyperactive reflexes]] may be present
* There are deficits in cranial nerves I, II, III, and VI
* Deficits in [[Olfactory nerve|cranial nerves I]], [[Optic nerve|II]], [[Oculomotor nerve|III]], and [[Abducens nerve|VI]] may be present
 
===Eyes===
===Eyes===
*Visual filed defect ([[bitemporal hemianopsia]]) maybe be present
*[[Visual field defect]] ([[bitemporal hemianopsia]]) maybe be present


===Chest===
===Chest===


*Breasts may be enlarged
*[[Breasts]] may be enlarged
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
Line 40: Line 43:
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Neurology]]
[[Category:Neurosurgery]]
[[Category:Endocrinology]]

Latest revision as of 19:45, 2 October 2019

Pituitary adenoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pituitary adenoma from other Diseases

Epidemiology and Demographics

Risk Factors

Natural history, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pituitary adenoma physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pituitary adenoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pituitary adenoma physical examination

CDC on Pituitary adenoma physical examination

Pituitary adenoma physical examination in the news

Blogs on Pituitary adenoma physical examination

Directions to Hospitals Treating Pituitary adenoma

Risk calculators and risk factors for Pituitary adenoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

The presence of altered mental status, hyperthermia, tachycardia, tachypnea and visual field defect (bitemporal hemianopsia) on physical examination is suggestive of pituitary adenoma.

Physical Examination

Appearance of the Patient

Vitals

Temperature

Pulse

Rate
Rhythm
  • The pulse is regular
Strength
  • The pulse may be bounding

Blood Pressure

Respiratory Rate

Neurologic

Eyes

Chest

References

Template:WikiDoc Sources