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Posterior Pituitary Disease


Presentation

  • TIMI risk score for ST-elevation myocardial infarction: a convenient, bedside, clinical score for risk assessment at presentation: an Intravenous nPA for Treatment of Infarcting Myocardium Early II trial substudy. Circulation 2000; 102:2031-2037. ‎[books.google.de]
  • We usually presume they have been present since birth.[pituitaryworldnews.org]
  • Patients may also present with "central scotoma," in which there is a loss of vision in the central region of a visual field.[newswise.com]
  • […] in childhood, but can present later with features such as delayed puberty; heritable pituitary disease usually involves homeodomain transcription factors With regard to item 9 above, in a study of 435 patients, Fatemi et al found evidence that the likelihood[emedicine.medscape.com]
  • […] plasma High ADH/AVH– nephrogenic diabetes insipidus Low ADH/AVH – central diabetes insipidus Alternatively, administer vasopressin and order UO 1-2 hours post administration 50% increased UO – central diabetes insipidus Histology If pituitary adenoma is present[arupconsult.com]
Sneezing
  • Postoperatively the client should be taught to avoid coughing, sneezing, nose blowing, and bending. Soft toothbrushes should be used for several weeks following surgery.[pearsonitcertification.com]
Arthritis
  • This condition is often complicated by metabolic, heart and bone problems, including diabetes, high blood pressure, heart function problems, arthritis and carpal tunnel syndrome.[endocrinology.medicine.ubc.ca]
  • […] prominence of forehead • Enlarged hands and feet • High blood pressure and heart enlargement • Excess hair growth • Excessive sweating • Respiratory disorders such as sleep apnea • Enlargement of the tongue and widening of the spaces between the teeth • Arthritis[houstonendocrine.com]
No Pubic Hair
  • Patients with this condition may experience decreased sex drive, smooth and pale skin, fine wrinkles around the eyes and mouth, loss of armpit and pubic hair, loss of facial hair, anemia and excessive fatigue.[newswise.com]
Impulsivity
  • It controls the posterior lobe through nerve impulses. The hormones produced by the pituitary are not all produced continuously. Most are released in bursts every 1 to 3 hours, with alternating periods of activity and inactivity.[msdmanuals.com]
Neuralgia
  • Pituitary Tumor Trigeminal neuralgia Acoustic neuroma Meningioma PINEAL TUMOR Craniopharyngioma Head & Neck tumors Hemifacial spasm Rathke’S Cyst Arachnoid cyst Craniosynostosis Chordoma Cerebral aneurysm Arteriovenous malformation Home Pituitary Tumor[skullbaseinstitute.com]
Tingling
  • Hypoparathyroidism manifestation Musculoskeletal- muscle spasms, tremors, positive Chvosteck's sign, Trousseau's sign Integumentary - hair loss, brittle nails, dry scaly skin GI system- abdominal pain, cramps Cardiovascular- dysrhythmias CNS- numbness/ tingling[quizlet.com]

Workup

ST Elevation
  • ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction - executive summary. ‎ Seite 105 - Morrow DA, Antman EM, Charlesworth A, et al.[books.google.de]

Treatment

  • Treatment involves curing the cause if it is known. If not, the patient is given an antidiuretic hormone.[faqs.org]
  • TIMI risk score for ST-elevation myocardial infarction: a convenient, bedside, clinical score for risk assessment at presentation: an Intravenous nPA for Treatment of Infarcting Myocardium Early II trial substudy. Circulation 2000; 102:2031-2037. ‎[books.google.de]
  • Trials are often designed to treat a certain stage of cancer, either as the first form of treatment offered, or as an option for treatment after other treatments have failed to work.[oncolink.org]
  • Early recognition and prompt treatment are of paramount importance. Treatment Most patients with postoperative hyponatremia should be hospitalized for observation and management.[ccpd.ucsf.edu]
  • Pituitary Surgery and Radiation Medical Treatments Overall Approach for Treatment Future Directions Acknowledgments References Chapter 18.[elsevier.com]

Prognosis

  • Prognosis The prognosis for most patients with hypopituitarism is excellent. As long as therapy is continued, many experience normal life spans.[medical-dictionary.thefreedictionary.com]
  • Outlook If hormone replacement therapy is adequate, the prognosis is good. Complications are often related to the underlying disease. For More Information Visit the Pituitary Network Association web site.[webmd.com]
  • Prognosis Pituitary tumors are treatable and in many cases curable. The optimal treatment modality is determined by the type and size of the tumor, and how far it has grown into the surrounding brain at the time of diagnosis.[skullbaseinstitute.com]

Etiology

  • Background Epidemiology Incidence – 4-5/100,000 Age – incidence increases with age Etiology Tumor – adenoma, lymphoma, metastatic infiltration Autoimmune disorders – c onnective tissue disease Trauma – surgery, head injury, radiation Vascular – hemorrhagic[arupconsult.com]
  • Anterior Pituitary Failure Abstract Introduction Mortality Etiology Clinical Manifestations Diagnostic Testing Treatment of Hypopituitarism References Chapter 11.[elsevier.com]
  • Serum levels of pituitary hormones are lower than normal. hypopituitarism Endocrinology A condition characterized by secretion of one or more anterior pituitary or adenohypophyseal hormones Etiology Idiopathic, pituitary tumor, hypothalamic or infundibular[medical-dictionary.thefreedictionary.com]

Epidemiology

  • Nonfunctioning and Gonadotrophin-Secreting Adenomas Abstract Introduction Epidemiology Pathology Etiology Clinical Features Assessment Differential Diagnosis Treatment Gonadotrophinomas References Chapter 20.[elsevier.com]
  • References Further Reading Hypopituitarism - Deficiency in Pituitary Hormone Production Hypopituitarism Diagnosis Hypopituitarism Treatment Hypopituitarism Causes Hypopituitarism Epidemiology[news-medical.net]
  • Background Epidemiology Incidence – 4-5/100,000 Age – incidence increases with age Etiology Tumor – adenoma, lymphoma, metastatic infiltration Autoimmune disorders – c onnective tissue disease Trauma – surgery, head injury, radiation Vascular – hemorrhagic[arupconsult.com]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of hypopituitarism usually involves damage to the pituitary gland, which renders it unable to produce one or more hormones in the normal manner.[news-medical.net]
  • The Hypothalamus Abstract Introduction Anatomy Hypothalamic Physiology Pathophysiology of Hypothalamic syndromes Clinical Features of Hypothalamic Syndromes Specific Hypothalamic Disorders Traumatic brain injury References Chapter 10.[elsevier.com]
  • […] sickle cell disease Infections – histoplasmosis, tuberculosis, toxoplasmosis Infiltrative disease – sarcoidosis, hemochromatosis Genetic disease – Kallmann syndrome, Prader-Willi syndrome, Laurence-Moon-Bardet-Biedl syndrome Other – empty sella syndrome Pathophysiology[arupconsult.com]

Prevention

  • […] urination, excessive thirst, and excessive fluid intake. to monitor fluid balance, the nurse should weigh the client daily, measure urine specific gravity, and monitor intake and output. the nurse should encourage fluids to keep intake equal to output and prevent[proprofs.com]
  • "Labor, love, and lactation" Parturation - Initiation and completion of labor - Fergusson reflex (cervical dilation) - Contraction of uterine myometrium: delivery, and clamping down on vessels to prevent blood loss Lactation - Mechanoreceptors/touch receptors[brainscape.com]
  • It helps your body conserve water and prevent dehydration. Oxytocin. This hormone stimulates the release of breast milk. It also stimulates contractions of the uterus during labor.[healthline.com]
  • This is a very important mechanism to prevent dehydration. Too much vasopressin can cause the kidneys to hold too much water, diluting out the sodium level in the bloodstream.[ccpd.ucsf.edu]
  • […] or reduce complication prevent or at least slow the rate of development of the chronic complication by modifying nutrient intake and lifestyle adress individual nutrition needs taking into account personal and cultural preferences maintain pleasure of[quizlet.com]

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