hypopituitarism Flashcards
a majority of cases of hypopituitarism are due to?
pituitary disease >hypothalamic disease > idiopathic
post pregnancy w/ post-partum hemorrhage, inability to lactate or return to normal menses, lethargy, anorexia, weight loss
sheehan’s syndrome
when a pituitary adenoma hemorrhages into itselt
pituitary apoplexy
sudden onset of excruciating pain, diplopia due to pressure on oculomotor nerves
pituitary apoplexy
lymphocytic invasion followed by destruction of pit cells occuring late pregnancy or post-partum
lymphocytic hypophysitis
is primary or secondary empty sella syndrome more commonly assc’d with hypopituitarism?
secondary
low cortisol, low ACTH, does not result in aldosterone deficiency
secondary adrenal insufficiency
does primary or secondary Adrenal insufficiency result in hyperpigmentation?
primary
what is a deficient morning cortisol reading?
under 3
what is a normal morning cortisol?
> 18
tx for ACTH deficiency
hydrocortisone 15-30 mg daily
secondary hypothyroidism presents with ___T4 and ____TSH
low T4, low TSH
tx for TSH deficiency
L-thyroxine
what is unneccesary to measure in secondary hypothyroidism
TSH (it will always be low)
what to measure if woman presents with abnormal menstrual cycles
estradiol, LH, FSH
