Hypopituitarism physical examination
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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)
- Patients with sellar mass may present with headache, diplopia o visual loss. 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.