Gigantism
Pathophysiology
Adenomas of pituitary gland affecting
the production of the Growth Hormone
Results in excessive growth hormone in childhood
Causes
Neurofribomatosis
McCune - Albright syndrome
Carney complex
Signs and symptoms
Abnormally tall stature
Thickened facial features
Deafness
Abnormal growth of hands, face and feet
Care plan
Treatment
Diagnosis
Disturbed body image
Fluid volume deficit
Intervention
Refer patient to psychologist and
occupational therapist
Urge patient to drink the prescribed fluids to replace lost fluids
Disturbed sensory perception
Encourage pt. to low vision aids and wear sunglasses when out
Outcome
The patient will identify irrational beliefs and use new coping strategies to enhance perception about body image.
Cabergolin
Bromocriptine
Transsphenoidal hypophysectomy surgery
Octreotide
The patient will recognize self-sabotage and accept help
Normovolemic
Diagnostic tests
Oral Glucose tolerance test
Blood test measuring GH
Patient regains optimal vision
References
Gelber SJ, Heffez DS, Donohoue PA. 1992 Pituitary gigantism caused by growth hormone excess from infancy. J Pediatr. 120:931–934.
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