No activity today, make something!
afya
ReproductiveMetabolic
Markdown Help
Search globally
Save Tiddler
Revert Changes
Cancel Edit
<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Beware 2ndary hypoadrenalism due to pituitary failure - no hyperkalaemia, or hypotension as aldosterone still present, no pigmentation as ACTH low, do early morning cortisol (>550) If untreated hyperprolactinaemia causes infertility, and osteoporosis (alters GnRH pulse so LH FSH so Oestrogen deficient), impotence, menstrual disturbance and galactorrhoea Rx prolactinoma - depends on size (do not change life expectancy) All macro need Rx, if <1cm and aSx - watch as many don't progress, unless infertile, androgen xs (relative) or osteopenia DA agonist (bromocriptine / Cabergoline) - pre-op or if surgery not curative, use low dose, if higher dose needed may cause cardiac valve fibrosis Transphenoidal surgery - to decompress optic chiasm - often residual tumour remains DXT - post-op for residual not medically responding 2ndary Amenorrhoea TFT, FBC, Ferritin, LH FSH, prolactin ??Sheehans - hypogonadotrophic hypogonadism and hypothyroid, low prolactin and low cortisol ?ADH levels
Autocomplete tags from:
Global tags
Local tags
slimindex, index, Endocrinology