Johns Hopkins Pituitary Day

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MEETING NOTES : Johns Hopkins Pituitary Day

Meeting Created:September 29, 2012, 10:04 AM

Baltimore

Dr. Gary Wand

pituitary slides, growth hormone, ACTHprolactin, breast milkanterior, OxytocinADH, vassopressin, sodium, diabetes insipidusmicro/macro adenomasecretory vs nonfunctionalnormal 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% prolactin36% nonfunctioning

nonfunctioningsigns from compressiondiminished pituitary: sex hormones, thyroid, adrenalvisual defectsheadachesno medicationno hormone excesssurgery

prolactinomamedicationsome surgeryrarely radiation

growth hormone - acromegalysurgerymedicationradiation

cortisol, Cushing'ssymptomssurgerymedications

tsh tumor, similar symptoms to Grave'ssurgerymeds

other pit disorders