Pituitary Disease Flashcards
1
Q
Diagnosis of acromegaly
A
serum IGF-1 1st line,
if this is raised, OGTT (with GH measurement)
2
Q
1st line management of acromegaly
2st line medical for bonus points
A
trans-sphenoidal surgery
Octreotide (somatostatin analogue) second line and for those who stull have disease after surgery
dopamine agonists line bromocriptine used to be used but aren’t as good as octreotide
3
Q
macro/micro pituitary adenoma size
A
<1cm vs >1cm
4
Q
1st and 2nd line mgt for prolactinoma
A
1st line dopamine agonists like cabergoline or bromocriptine
2nd like surgery (
