The Curbsiders Internal Medicine Podcast2 Feb

#513 Pituitary Incidentalomas

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)

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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