Hypo- pituitarism Hypo- pituitarism dr shabeel’s presentationsdr shabeel’s presentations

Causes Causes Pituitary tumour Pituitary tumour Surgery Surgery Radiation Radiation Head injuryHead injury Cranio – pharyngiomaCranio – pharyngioma Sheehan’s syndrome Sheehan’s syndrome Congenital Congenital

Clinical features Clinical features Variable Variable Congenital – short statureCongenital – short stature LethargyLethargy Muscle weakness Muscle weakness Loss of libido / impotenceLoss of libido / impotence Hair loss Hair loss Amenorrhoea Amenorrhoea Gynaecomastia Gynaecomastia

Contd……..Contd……..

Hypotension Hypotension PallorPallor Lethargy & features of hypo thyroidism Lethargy & features of hypo thyroidism Thirst / Polyuria Thirst / Polyuria

Investigations Investigations

ACTH stimulation testACTH stimulation test S.testosterone / LH / FSH / TSHS.testosterone / LH / FSH / TSH GH assay GH assay

Management Management

Hormone replacement Hormone replacement