Pituitary

Question 1

What is the steroid treatment for pituitary apoplexy

Answer 1

Hydrocortisone (solucortef): 50mg IV Q6hr

Question 2

Follow-up for asymptomatic microadenomas?

Answer 2

MRI at 1, 2, 5, 10 years and then stop

Question 3

Micro vs macroadenoma

Answer 3

1cm

Question 4

Follow-up for asymptomatic macroadenoma

Answer 4

Check visual fields, endocrine eval and MRI at 0.5, 1, 2, 5 years and any time symptoms develop

Question 5

What is the class of drug used to treat prolactinomas?
Most common?

Answer 5

Dopamine agonists (Dopamine restrains prolactin production, so the more dopamine there is, the less prolactin is released. Prolactin itself enhances the secretion of dopamine, so this creates a negative feedback loop)
Bromocriptine, cabergoline