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The Mayo Clinic

Decent Essays
1. As per the Mayo Clinic the symptoms that the patient encountered is related to a pituitary adenoma, due to the tumor pressure (www.mayoclinic.org). The visual disturbances and headaches indicate an increase growth, which causes pressure to the surrounding area. The weight gain and increase in shoe size is caused by an increase production in growth hormone. Excess production in growth hormone can cause enlarged hands and feet.
2. “The pituitary adenoma itself may put pressure on the remaining normal part of the pituitary gland and limit or destroy its ability to produce hormones appropriately” (Stewart & Vance). With the increase in tumor pressure the patient may experience nausea and vomiting. The pituitary adenoma may cause body hair loss, sexual dysfunction, increase frequency and increase amount of urination. The pituitary adenoma is growth hormone secreting tumor causing the hands and feet to enlarge (www.mayoclinic.org). A growth hormone adenoma is the reason for the unexplained weight gain and the change in shoe size from 10 to 12.
3. The cause of the high urine output postop is due to diabetes insipidus. “Diabetes insipidus (DI) is a common complication following pituitary surgery” (Schreckinger, Szerli & Mittal, 2012). There are two subsets within Diabetes insipidus, nephrogenic and neurogenic. “Neurogenic (or central) DI occurs when there is inadequate secretion of AVP from the hypothalamus. This can be hereditary, idiopathic, or due to injury to the
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