Pituitary Disoders Flashcards
1
Q
Pituitary adenoma characteristics
A
Benign
Macroadenoma >=10mm
Microadenoma <10mm
2
Q
Causes of elevated prolactin
A
Meds (antipsychotics) Pregnancy Empty sella syndrome Hypothyroidism Adrenal Insufficiency Stalk compression Cirrhosis
3
Q
Treatment of microadenoma
A
Observation
4
Q
Treatment of oligomenorrhea/amenorrhea in female who does not wish to get pregnant
A
OCP
5
Q
Treatment of symptomatic women considering pregnancy
A
Dopamine agonist (cabergoline) - reduces tumor size
6
Q
Acromegaly diagnosis
A
Screening with IGF-1 with confirmation testing with oral glucose tolerance test to look for supression of GH
Random growth-hormone is not clincally diagnostic because of secretion
7
Q
Acromegaly treatment
A
Transsphenoidal surgery
Somatostatin analagues and GH receptor antagonist (pegvisomant)
