Pituitary adenoma physical examination: Difference between revisions

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==Overview==
==Overview==
The presence of altered mental status, [[nausea]], [[lethargy]] and [[visual field defect]] ([[bitemporal hemianopsia]]) on physical examination is 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====
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*[[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
* Deficits in cranial nerves I, II, III, and VI may be present
* 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}}
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[[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

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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

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