Pituitary adenoma physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The presence of altered mental status, [[ | 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 is being secreted patient may | *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=== | ||
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====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 field 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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Pituitary adenoma Microchapters |
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Pituitary adenoma physical examination On the Web |
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American Roentgen Ray Society Images of Pituitary adenoma physical examination |
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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
- Based on the size of the adenoma and type of the hormone that is being secreted patient may appear lethargic, nauseated, drowsy, obese, thin, or diaphoretic. However, patient may also appears well.
Vitals
Temperature
- Hyperthermia may be present
Pulse
Rate
- Tachycardia may be present
Rhythm
- The pulse is regular
Strength
- The pulse may be bounding
Blood Pressure
- Hypertension may be present
Respiratory Rate
- Tachypnea may be present
Neurologic
- Mental status may be altered
- Hyperactive reflexes may be present
- Deficits in cranial nerves I, II, III, and VI may be present
Eyes
- Visual field defect (bitemporal hemianopsia) maybe be present
Chest
- Breasts may be enlarged