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Endocrine System SJA

Anterior Pituitary - Growth Hormone Excess by S. Junius-Arcemont

QuestionAnswer
In children, the excessive secretion of GH results in ________________. gigantism
Overproduction of GH is almost always caused by a benign _____________ ____________. pituitary tumor (adenoma)
In adults, excessive secretion of GH results in _____________________. acromegaly.
Surgery on the pituitary gland is most commonly performed with the __________________________________. traansphenoidal approach.
What is the therapeutic goal in acromegalic patients? The therapeutic goal in acromegaly is to return the patient's GH levels to normal
List at least three diagnostic test for Acromegaly. In addition to H and P, 1. evaluation of plasma IGF-1 levels, 2. evaluation of IGF binding protein–3 (IGFBP-3) levels, and 3. GH response to an oral glucose challenge., 4. CT scanning with contrast 5. and MRI
After surgery in which a transsphenoidal approach has been used, list at least two nursing actions. 1. HOB up 30 degrees, 2.Monitoring neurologic status, including pupillary response, 3.clear nasal drainage should be sent to the laboratory to be tested for glucose.
A possible postoperative complication is transient diabetes insipidus (DI). Why? DI may occur because of the loss of antidiuretic hormone (ADH), which is stored in the posterior lobe of the pituitary gland, or cerebral edema related to manipulation of the pituitary during surgery. To assess for DI, urine output and serum and urine os
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