gigantism
diagnostic test
definition
abnormal large growth due to excess of GH in childhood
CT scan or MRI of head
increased insulin growth factor -1 levels
high prolactin levels
signs and symptoms
very large hands and feet
thick toes and fingers
a prominent jaw and forehead
delayed puberty in both boys and girls
deafness
causes
excessive growth hormone in childhood
adenoma
tumor of pituitary gland
treatment
medication to reduce GH release
sex hormone therapy which may inhibit long bone growth
dopamine agonist
growth hormone antagonist
somatostatin
pathophysiology
occurs when growth hormone hypersecretion occurs
characterized bt tall stature
before fusion of long bone epiphysis
nursing care plan
nursing diagnosis
disturbed sleeping pattern
disturbed body pattern related to enlargement of body part
enlarged pituitary gland manifested by eye ball enlargement
nursing intervention
improve body image
give analgesics
encourage physical exercises
rationale
to relive pains
body image enhancement
to promote sleeping