Pituitary Apoplexy Flashcards
1
Q
what is pituitary apoplexy?
A
acute intrapituitary hemorrhage
2
Q
in pituitary apoplexy, what can a spontaneous bleed be associated with?
A
preexisting adenoma
3
Q
what diseases is pituitary apoplexy associated with?
A
sickle cell, DM, HTN, Anticoagulant therapy
4
Q
Endocrine emergency symptoms
A
severe headaches, meningeal irritation, visual changes, opthalmoplegias, LOC, cardiovascular collapse
5
Q
if pt has evidence of visual loss or consciousness what should be done?
A
urgent surgical decompression
6
Q
if there is no evidence of visual loss or consciousness what should be done?
A
observe and give high dose glucocorticoids