Pituitary adenoma physical examination

Pituitary adenoma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Pituitary adenoma from other Diseases
Epidemiology and Demographics
Risk Factors
Natural history, Complications and Prognosis
Diagnosis
Staging
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Pituitary adenoma physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pituitary adenoma physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pituitary adenoma physical examination
CDC on Pituitary adenoma physical examination
Pituitary adenoma physical examination in the news
Blogs on Pituitary adenoma physical examination
Directions to Hospitals Treating Pituitary adenoma
Risk calculators and risk factors for Pituitary adenoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

The presence of altered mental status, nausea, lethargy and visual field defect (bitemporal hemianopsia) on physical examination is suggestive of pituitary adenoma.

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 appears well.

Vitals

Temperature

• Hyperthermiamay 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
• Deficits in cranial nerves I, II, III, and VI may be present

Eyes

• Visual filed defect (bitemporal hemianopsia) maybe be present

Chest

• Breasts may be enlarged