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Pituitary and Adrenal Disorders - Coggle Diagram
Pituitary and Adrenal Disorders
Hyperprolactinemia
Causes
Pregnancy, Nipple Stimulation, Stress
Results in Galactorrhea
Evaluation
Baseline Prolacktin Levle
TSH, creatine, BhCG to rule out secondary cause
Prolactinoma
Treatment
Indications
Microadenomas: Fertility issues, Amenorrhea, Hypogonadism, Bothersome symptoms
Macroadenoma: Usually need to treat due to size
Medical: Dopamine agonists, Surgical (only if medical management fials
Addison's Disease
Panhypopituitarism
Sheehan Syndrome
Secondary to significant post-partum hemorrhage
Acute presentation with panhypopit is rare
Imaging: Initially large pituitary gland -> Gland shrinkage into empty sella
Treatment
TSH: Levothyroxine
ACTH: Glucocorticoid
LH/FSH: Testosterone/Estrogen resplacemnet
ADH: DDAVP
Oxytocin: given routinely to those post delivery