Hypopituitarism physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Clinical presentation in hypopituitarism depends upon following factors: | |||
*The onset: | |||
Acute: sudden onset of symptoms as seen in pituitary apoplexy | |||
Chronic: slow onset, may take years to manifest such as radiation damage. | |||
*The severity of hormonal deficiency: | |||
Complete hormonal deficiency: may present even in normal circumstances | |||
Partial hormonal deficiency: may present only in times of stress | |||
*The number of deficient hormones: | |||
One | |||
A few | |||
All of the pituitary hormones (panhypopituitarism) | |||
*Physical examination of patients with hypopituitarism is usually remarkable for: . | *Physical examination of patients with hypopituitarism is usually remarkable for: . | ||
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Revision as of 21:37, 11 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2], Iqra Qamar M.D.[3]
Overview
Physical Examination
Clinical presentation in hypopituitarism depends upon following factors:
- The onset:
Acute: sudden onset of symptoms as seen in pituitary apoplexy Chronic: slow onset, may take years to manifest such as radiation damage.
- The severity of hormonal deficiency:
Complete hormonal deficiency: may present even in normal circumstances Partial hormonal deficiency: may present only in times of stress
- The number of deficient hormones:
One A few All of the pituitary hormones (panhypopituitarism)
- 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.