Hypopituitarism physical examination: Difference between revisions
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{| class="wikitable" | {| class="wikitable" | ||
!Hormonal deficiency | !Hormonal deficiency | ||
! | ! colspan="2" |Finding | ||
|- | |- | ||
| ACTH | | rowspan="2" | ACTH | ||
|Acute | |||
| | | | ||
* Postural hypotension | |||
* Tachycardia | |||
|- | |||
|Chronic | |||
| | | | ||
* Anorexia | |||
* Weight loss | |||
* No hyperpigmentation | |||
|- | |- | ||
|TSH | |TSH | ||
| colspan="2" | | |||
|- | |||
| rowspan="2" |Gonadotropins | |||
|Male | |||
| | | | ||
|- | |||
|Female | |||
| | | | ||
|- | |- | ||
| | | rowspan="2" |Growth hormone | ||
|Children | |||
| | | | ||
|- | |||
|Adults | |||
| | | | ||
|- | |- | ||
| | |Prolactin | ||
| colspan="2" | | |||
|- | |||
|ADH | |||
| | | | ||
| | | | ||
|- | |- | ||
| | |Oxytocin | ||
| | | | ||
| | | |
Revision as of 15:12, 1 September 2017
Hypopituitarism Microchapters |
Diagnosis |
---|
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
Hormonal deficiency | Finding | |
---|---|---|
ACTH | Acute |
|
Chronic |
| |
TSH | ||
Gonadotropins | Male | |
Female | ||
Growth hormone | Children | |
Adults | ||
Prolactin | ||
ADH | ||
Oxytocin |
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.