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Internal Medicine 2: Endocrine > Hypopituitarism > Flashcards

Hypopituitarism Flashcards

1
Q

What is hypopituitarism?

A

Deficiency of one or more of the anterior pituitary hormones

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2
Q

Most common cause?

A

Tumor

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3
Q

How to diagnose?

A

ACTH deficiency, LOW cortisol, IGF-1, test and estrogen. This is a combined disease of all aspects

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4
Q

What is the first step to treating hypopituitarism?

A

Glucocorticoid treatment, to fix the low cortisol levels first.

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5
Q

What is the next step?

A

Hormonal replacement therapy, to fix hypothyroidism, GH in children, test in men, estrogen in females

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6
Q

What is Posterior Hypopituitarism?

A

Diabetes insipidus

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7
Q

Causes of diabetes insipidus?

A

Post operative after tumor resection, there is lack of vasopressin secretion from posterior pituitary

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8
Q

Features of diabetes insipidus?

A

Polyuria, intense thirst

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9
Q

How do we diagnose central diabetes insipidus?

A

Water deprivation test, that is collecting urine after fasting

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10
Q

How do we treat central diabetes insipidus?

A

Give patient vasopressin

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Internal Medicine 2: Endocrine (10 decks)

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