“Panhypopituitarism” (pan meaning “all”) technically requires deficiency of all eight pituitary hormones; ho...
Birth history
Infants with hypopituitarism are usually normal or small for gestational age, in contrast to hyperinsulinemic infants, who are typically large for gestational age.
Documen...
Hydrocortisone
Replacement doses if needed: 8 to 15 mg/m2/24 h PO, divide...
Initially, every 3 months by a pediatric endocrinologist
When pituitary hormones are replaced, expect the following:
ACTH deficiency: hydrocortisone (daily and stre...
Ascoli P, Cavagnini F. Hypopituitarism. Pituitary. 2006;9(4):335–342. [View Abstract on OvidInsights]
Di Iorgi N, Napoli F, Allegri AE, et al. Diabetes insipidus—diagnosis and ...
253.2 Panhypopituitarism
253.7 Iatrogenic pituitary disorders
E23.0 Hypopituitarism
E89.3 Postprocedural hypopituitarism
74728003 Hypopituitarism (disorder)
40781006 hypopituitarism du...
Q: When do I give stress doses of steroid and for how long?
A: Whenever the patient has fever, vomiting, serious illness, or surgery. Continue until 24 hours after stress resolves (e.g., the day af...
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