Hypopituitarism physical examination: Difference between revisions
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* Puffy facies and loss of eyebrows | * Puffy facies and loss of eyebrows | ||
* Periorbital edema | |||
* Enlargement of the tongue | |||
* Diastolic hypertension | |||
* Pleural and pericardial effusions | |||
Galactorrhea | * Ascites | ||
* Galactorrhea | |||
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| rowspan="2" |Gonadotropins | | rowspan="2" |Gonadotropins | ||
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* Reduced muscle mass and strength | * Reduced muscle mass and strength | ||
* Increased central obesity | * Increased central obesity | ||
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Revision as of 14:04, 6 September 2017
Hypopituitarism Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Hypopituitarism physical examination On the Web |
American Roentgen Ray Society Images of Hypopituitarism physical examination |
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 |
| |
Gonadotropins | Male |
|
Female |
| |
Growth hormone | Children |
|
Adults |
|
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.