acromegaly

sings and symptoms

pathophysiology

causes

nursing manangement

medical manangement

surgical manangement

definition

is a hormonal disorder that develops when your pituitary gland produces too much growth hormone during adulthood.

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Enlarged hands and feet

Coarsened, enlarged facial features

Coarse, oily, thickened skin

Excessive sweating and body odor

Fatigue and muscle weakness

Impaired vision

Headaches

Enlarged tongue

Pain and limited joint mobility

Menstrual cycle irregularities in women

Erectile dysfunction in men

Enlarged organs, such as the heart

Pituitary tumors.

Nonpituitary tumors.

Proton beam therapy.

Conventional radiation therapy

Stereotactic radiosurgery.

is characterized by hypersecretion of growth hormone, which is caused by the existence of a secreting pituitary tumor in more than 95% of acromegaly cases. Pituitary tumors are benign adenomas, and can be classified according to size microadenomas being less than 1 cm in diameter and macroadenomas being greater than 1 cm in diameter. In rare instances, elevated GH levels are caused by extra pituitary disorders. In either situation, hypersecretion of GH in turn causes subsequent hepatic stimulation of insulin-like growth factor.

hyperplasia

adenoma or tumor of the anterior pituatary glang

hypophysectomy to removethe tomour

includes administration of pituatary hormoes

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abergoline (Dostinex)—given orally

Pergolide (Permax)—given orally

Bromocriptine (Parlodel)—may be given before surgery tshrink tumor

Octreotide (Sandostatin)—given by injections

Pegvisomant—given by injections for patients not responding tother forms of treatment

Ineffective Coping related to change in appearance.

Disturbed Sensory Perception

Disturbed Sleeping Pattern related to soft tissue swelling

Fluid Volume Deficit

Anxiety related to change in appearance

Knowledge Deficit