Pituitary adenoma physical examination: Difference between revisions

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==Overview==
==Overview==


==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
*Based on the size of the adenoma and type of the hormone that being secreted patient may appears lethargic, nauseated, drowsy,  obese, thin, or diaphoretic. However, patient may also looks well.


The diagnosis is generally entertained either on the basis of visual difficulties arising from the compression of the [[optic nerve]] by the tumor, or on the basis of manifestations of excess hormone secretion: the specifics depend on the type of hormone. The specific area of the visual pathway at which compression by these tumours occurs is at the [[optic chiasma]].
===Vitals===
 
====Temperature====
The anatomy of this structure causes pressure on it to produce a defect in the temporal visual field on both sides, a condition called [[bitemporal hemianopsia|bitemporal hemianopia]].
*[[Hyperthermia]]may be present
 
====Pulse====
=====Rate=====
[[Tachycardia]] may be present
=====Rhythm=====
*The pulse is regular
=====Strength=====
*The pulse may be bounding
====Blood Pressure====
*[[Hypertension]] may be present
====Respiratory Rate====
*[[Tachypnea]] may be present
===Neurologic===
* Mental status may be altered
* Hyperactive reflexes may be present
* There are deficits in cranial nerves I, II, III, and VI
===Eyes===
*Visual filed defect ([[bitemporal hemianopsia]]) maybe be present
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}
[[Category:Disease]]
[[Category:Disease]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]

Revision as of 16:34, 1 October 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Appearance of the Patient

  • Based on the size of the adenoma and type of the hormone that being secreted patient may appears lethargic, nauseated, drowsy, obese, thin, or diaphoretic. However, patient may also looks well.

Vitals

Temperature

Pulse

Rate

Tachycardia may be present

Rhythm
  • The pulse is regular
Strength
  • The pulse may be bounding

Blood Pressure

Respiratory Rate

Neurologic

  • Mental status may be altered
  • Hyperactive reflexes may be present
  • There are deficits in cranial nerves I, II, III, and VI

Eyes

References

Template:WikiDoc Sources