Pituitary Disorders. Jo Choudhry, M.D. PGY-1. The Pituitary Gland. Located at the base of the skull Anterior and Posterior lobes Portal connection from the hypothalamus. Growth hormone (GH) Gondadotrophs (LH/FSH) TSH Prolactin Corticotropin (ACTH). Oxytocin Vasopressin.
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Jo Choudhry, M.D. PGY-1
*4.6% post-op neurologic
*2-10.5% Diabetes Insipidous
*8.8% fluid and electrolyte
*2% Cerebrospinal fluid rhinorrhea
*3.2% cranial nerve 3,4,or 6 palsies
preg occurs, then stop.
Rare due to decreased fertility
Cushing’s Disease vs. Syndrome:
Normal or High TSH
High total and free T4 and High T3
Autopsy: lymphocytic infiltration of pituitary and thyroid
Symptoms: HA, lethargy, weight loss, hyperprolactinemia