Hypopituitarism physical examination: Difference between revisions
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* Slow movement and slow speech | * Slow movement and slow speech | ||
* Delayed relaxation of tendon reflexes | * Delayed relaxation of [[Tendon reflex|tendon reflexes]] | ||
* Bradycardia | * [[Bradycardia]] | ||
* Carotenemia | * [[Carotenemia]] | ||
* Coarse skin | * Coarse [[skin]] | ||
* Puffy facies and loss of eyebrows | * Puffy facies and loss of eyebrows | ||
* Periorbital edema | * [[Periorbital edema]] | ||
* Enlargement of the tongue | * [[Macroglossia|Enlargement of the tongue]] | ||
* Diastolic hypertension | * Diastolic [[hypertension]] | ||
* Pleural and pericardial effusions | * [[Pleural Effusion|Pleural]] and [[Pericardial effusion|pericardial effusions]] | ||
* Ascites | * [[Ascites]] | ||
* Galactorrhea | * [[Galactorrhea]] | ||
|- | |- | ||
| rowspan="2" |Gonadotropins | | rowspan="2" |Gonadotropins | ||
|Male | |Male | ||
| | | | ||
* Soft testes | * Soft [[testes]] | ||
* Reduced muscle mass | * Reduced [[muscle mass]] | ||
* Regression of sexual characteristics | * Regression of sexual characteristics | ||
|- | |- | ||
| Line 64: | Line 64: | ||
|Children | |Children | ||
| | | | ||
* Short stature | * [[Short stature]] | ||
|- | |- | ||
|Adults | |Adults | ||
| | | | ||
* Decreased sweating and impaired thermogenesis | * Decreased [[sweating]] and impaired [[thermogenesis]] | ||
* Reduced muscle mass and strength | * Reduced [[muscle mass]] and strength | ||
* Increased central obesity | * Increased central [[obesity]] | ||
|} | |} | ||
| Line 77: | Line 77: | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | * [[Orthostatic hypotension]] | ||
=== Skin === | === Skin === | ||
* Dry skin | * [[Xeroderma|Dry skin]] | ||
* Pallor | * [[Pallor]] | ||
* Loss of hair | * [[Hair loss|Loss of hair]] | ||
=== Lungs === | === Lungs === | ||
* | * [[Dyspnea]] | ||
=== Heart === | === Heart === | ||
* Bradycardia | * [[Bradycardia]] | ||
* | * [[Atherosclerosis]] | ||
=== Abdomen === | === Abdomen === | ||
* Rebound tenderness | * [[Rebound tenderness]] | ||
=== Neuromuscular === | === Neuromuscular === | ||
* Muscle weakness | * [[Muscle weakness]] | ||
* Osteoporosis | * [[Osteoporosis]] | ||
===Genitourinary === | ===Genitourinary === | ||
* Hypogonadism ([[Micropenis]]) | * [[Hypogonadism]] ([[Micropenis]]) | ||
* Erectile dysfunction | * [[Erectile dysfunction]] | ||
==References== | ==References== | ||
Revision as of 16:24, 7 September 2017
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Hypopituitarism Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hypopituitarism physical examination On the Web |
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American Roentgen Ray Society Images of Hypopituitarism physical examination |
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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 |
| |
| Gonadotropins | Male |
|
| Female |
| |
| Growth hormone | Children | |
| Adults |
| |
Appearance of the patient
Vital Signs
Skin
Lungs
Heart
Abdomen
Neuromuscular
Genitourinary
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.