Pituitary adenoma physical examination

Revision as of 20:43, 2 October 2015 by Ahmad Al Maradni (talk | contribs)
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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, nausea, lethargy 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 being secreted patient may appears lethargic, nauseated, drowsy, obese, thin, or diaphoretic. However, patient may also appears well.

Vitals

Temperature

Pulse

Rate

Tachycardia may be present

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

Blood Pressure

Respiratory Rate

Neurologic

  • Mental status may be altered
  • Hyperactive reflexes may be present
  • There are deficits in cranial nerves I, II, III, and VI

Eyes

Chest

  • Breasts may be enlarged

References

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