Podcasts · The Curbsiders Internal Medicine Podcast

#513 Pituitary Incidentalomas

· 1 h 18 min

Episode #513 Pituitary Incidentalomas

0:00 1:17:38

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

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• Intro • Rapid fire questions/Picks of the Week • Case 1 • Defining Pituitary Incidentalomas • What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas • Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess) • Decided when to reimage patients and long term follow up of microadenomas • Case 2 • Hormonal workup for pituitary macroadenoma • Deciding when surgery should be considered • Discussing the role of visual field testing • Case 3 • Defining empty sella syndrome • Discussing hormonal assessment of empty sella syndrome • Treatment options for hyperprolactinemia caused by empty sella syndrome • Outro

Credits

• Producer, writer, show notes, and CME: Mobeen Ahmad MD • Infographic and cover art: Kate Grant MBChb, MRCGP • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP • Reviewer: Emi Okamoto MD • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP • Technical Production: PodPaste • Guest: Dr. Maria Fleseriu

Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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