16-posterior Pituitary Hyp Flashcards
Causes of SIADH
Small cell
Cns disease -injury tumor
Drugs- chlorpropamide
Lung infection-tuberculosis
3 manifestations of SIADH
HypoAtremia
Cerebral edema
Resultant neurological dysfunction
Euvolemia
Absent edema in SIADH .only present in brain
Treatment of SIADH
Restrict water and demeclocycline-Nephrogenic DI
Mcc of hypopituitarism in adults
Non functional pituitary adenoma
Pituitary cachexia - simmonds disease
Is generalized panhypopituirsm
Marked wasting
By pituitary tumors
Sheehans
Men1 syndrome is associated with what pituitary disorder
Non functioning pituitary disorder
Men 1 syndrome tumor of what glands ?
Pituitary adenoma
Pancreatic tumor
Parathyroid tumor -hyperparathyroid
Bitemporal hemianospia
The other name for cranialpharyngioma
Adamantinoma
What does tumor of cranialpharyngioma contain
Cystic tumor with machinery old fluid, calficiation, calcifies squamous cell, with keratin cholesterol crystals
Three symptoms of postpartum pituitary necrosis
Hypothyroidism
Adrenal is sufficiency
Amenorrhea
ACTH deficiency
Decreased cortisol- hypoglycemia
ADH is made in
Supra optic nucleus
Hypothalamic nuclei
Mcc for Central DI
Accident car pituitary stalk cut
2mc cause of central DI
Sarcoidosis affect pituitary gland
Test to distinguish central from Nephrogenic
Vasopressin administration
SIADH total body water and blood volume
Increases , blood volume normal
What hormone deficiencies should be treated first and why
TSH
ACTH
Adrenal Crisis
Progesterone inhibits lactation how
Inhibiting estrogen
What are the two hyperfunction endocrine disorders that can be suppressed
Prolactinoma and pituitary cushings
