MEETING NOTES : Johns Hopkins Pituitary Day
Meeting Created:September 29, 2012, 10:04 AM
Baltimore
Dr. Gary Wand
pituitary slides, growth hormone, ACTH
prolactin, breast milk
anterior, Oxytocin
ADH, vassopressin, sodium, diabetes insipidus
micro/macro adenoma
secretory vs nonfunctional
normal MRIs compared to tumors
compression of pituitary
- thyroid: energy, weight, mental function, skin, temp
- sex hormones, drive and function
- adrenal: light-headed, fatigue, appetite, weight, GI
Compression of surrounding structures like optic nerve
Excess hormones: prolactin, GH or cortisol
34% prolactin
36% nonfunctioning
nonfunctioning
signs from compression
diminished pituitary: sex hormones, thyroid, adrenal
visual defects
headaches
no medication
no hormone excess
surgery
prolactinoma
medication
some surgery
rarely radiation
growth hormone - acromegaly
surgery
medication
radiation
cortisol, Cushing's
symptoms
surgery
medications
tsh tumor, similar symptoms to Grave's
surgery
meds
other pit disorders
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