Hypopituitarism physical examination: Difference between revisions
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|- | |- | ||
|TSH | |TSH | ||
| colspan="2" |Slow movement and slow speech | | colspan="2" | | ||
* Slow movement and slow speech | |||
Delayed relaxation of tendon reflexes | * Delayed relaxation of tendon reflexes | ||
Bradycardia | * Bradycardia | ||
Carotenemia | * Carotenemia | ||
Coarse skin | * Coarse skin | ||
* Puffy facies and loss of eyebrows | |||
Periorbital edema | Periorbital edema | ||
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|Male | |Male | ||
| | | | ||
* Soft testes | |||
* Reduced muscle mass | |||
* Regression of sexual characteristics | |||
|- | |- | ||
|Female | |Female | ||
| | | | ||
* Breast atrophy | |||
* Regression of sexual characteristics | |||
|- | |- | ||
| rowspan="2" |Growth hormone | | rowspan="2" |Growth hormone | ||
|Children | |Children | ||
| | | | ||
* Short stature | |||
|- | |- | ||
|Adults | |Adults | ||
| | | | ||
* Decreased sweating and impaired thermogenesis | |||
* Reduced muscle mass and strength | |||
* Increased central obesity | |||
|- | |- | ||
|Prolactin | |Prolactin |
Revision as of 13:42, 6 September 2017
Hypopituitarism Microchapters |
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Hypopituitarism physical examination On the Web |
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Risk calculators and risk factors for Hypopituitarism physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Physical Examination
- Physical examination of patients with hypopituitarism is usually remarkable for: .
Hormonal deficiency | Finding | |
---|---|---|
ACTH | Acute |
|
Chronic |
| |
TSH |
Periorbital edema Enlargement of the tongue Diastolic hypertension Pleural and pericardial effusions Ascites Galactorrhea | |
Gonadotropins | Male |
|
Female |
| |
Growth hormone | Children |
|
Adults |
| |
Prolactin | ||
ADH | ||
Oxytocin |
Appearance of the patient
Vital Signs
- Orthostatic Hypotension
Skin
- Dry skin
- Pallor
- Loss of hair
Lungs
- Dysnea
- Shortness of breath
Heart
- Bradycardia
- Astherosclerosis
Abdomen
- Rebound tenderness
Neuromuscular
- Muscle weakness
- Osteoporosis
Genitourinary
- Hypogonadism (Micropenis)
- Erectile dysfunction
References
- ↑ Fleseriu, Maria; Hashim, Ibrahim A.; Karavitaki, Niki; Melmed, Shlomo; Murad, M. Hassan; Salvatori, Roberto; Samuels, Mary H. (2016). "Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism. 101 (11): 3888–3921. doi:10.1210/jc.2016-2118. ISSN 0021-972X.
- ↑ Prabhakar VK, Shalet SM (2006). "Aetiology, diagnosis, and management of hypopituitarism in adult life". Postgrad Med J. 82 (966): 259–66. doi:10.1136/pgmj.2005.039768. PMC 2585697. PMID 16597813.
- ↑ Ascoli, Paola; Cavagnini, Francesco (2006). "Hypopituitarism". Pituitary. 9 (4): 335–342. doi:10.1007/s11102-006-0416-5. ISSN 1386-341X.