Prolactinoma physical examination: Difference between revisions
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Patients with [[prolactinoma]] generally appear healthy. | Patients with [[prolactinoma]] generally appear healthy. | ||
The most common physical examination finding of [[prolactinoma]] is [[visual field]] defects ([[bitemporal hemianopsia]]). | |||
==Physical Examination== | ==Physical Examination== | ||
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*[[Visual field]] defects: [[bitemporal hemianopsia]] | *[[Visual field]] defects: [[bitemporal hemianopsia]] | ||
*[[Papilledema]] | *[[Papilledema]] | ||
*[[Diplopia]] and visual impairement may occur if patient is complicated with [[pituitary apoplexy]] | *[[Diplopia]] and visual impairement may occur if the patient is complicated with [[pituitary apoplexy]] | ||
===Neurologic=== | ===Neurologic=== | ||
Fewer patients may present with following neurological findings: <ref name="pmid15191331">{{cite journal| author=Liu JK, Couldwell WT| title=Contemporary management of prolactinomas. | journal=Neurosurg Focus | year= 2004 | volume= 16 | issue= 4 | pages= E2 | pmid=15191331 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15191331 }} </ref> | Fewer patients may present with following neurological findings: <ref name="pmid15191331">{{cite journal| author=Liu JK, Couldwell WT| title=Contemporary management of prolactinomas. | journal=Neurosurg Focus | year= 2004 | volume= 16 | issue= 4 | pages= E2 | pmid=15191331 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15191331 }} </ref> | ||
*Signs of [[ | *Signs of [[cranial nerve]] palsies | ||
*[[Hydrocephalus]] | *[[Hydrocephalus]] | ||
Revision as of 19:21, 8 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2], Faizan Sheraz, M.D. [3]
Overview
Patients with prolactinoma generally appear healthy.
The most common physical examination finding of prolactinoma is visual field defects (bitemporal hemianopsia).
Physical Examination
General Appearance
- Patients with prolactinoma generally appear healthy.
Eye
Depending on the size of the tumor, the ocular findings include:
- Visual field defects: bitemporal hemianopsia
- Papilledema
- Diplopia and visual impairement may occur if the patient is complicated with pituitary apoplexy
Neurologic
Fewer patients may present with following neurological findings: [1]
- Signs of cranial nerve palsies
- Hydrocephalus
References
- ↑ Liu JK, Couldwell WT (2004). "Contemporary management of prolactinomas". Neurosurg Focus. 16 (4): E2. PMID 15191331.