Johns Hopkins Pituitary Day

MEETING NOTES : Johns Hopkins Pituitary Day

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

Baltimore

Dr. Gary Wand

pituitary slides, growth hormone, ACTH

prolactin, breast milk

anterior, Oxytocin

ADH, vassopressin, sodium, diabetes insipidus

micro/macro adenoma

secretory vs nonfunctional

normal 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% prolactin

36% nonfunctioning

nonfunctioning

signs from compression

diminished pituitary: sex hormones, thyroid, adrenal

visual defects

headaches

no medication

no hormone excess

surgery

prolactinoma

medication

some surgery

rarely radiation

growth hormone - acromegaly

surgery

medication

radiation

cortisol, Cushing's

symptoms

surgery

medications

tsh tumor, similar symptoms to Grave's

surgery

meds

other pit disorders