Saturday, September 29, 2012

Johns Hopkins Pituitary Day

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