The presenting signs, symptoms, roentgenographic findings, endocrine evaluations, treatment, and results in 68 cases of presumed pituitary adenomas treated over an 18-year period are discussed. The most common symptoms were headache, acromegalic changes, visual symptoms, and amenorrhea. Most common physical findings were obesity, acromegaly, and visual field defects, usually bitemporal hemianopsia. Roentgenographic evidence of sellar erosion was almost universal but angiography and pneumoencephalography were required to evaluate suprasellar extension. Brain scan was not considered a particularly useful diagnostic tool. Endocrine status was best evaluated by a battery of tests including 17-OH, 17-KS, T3, T4, PBI, ACTH stimulation, and FSH and STH levels. (Prolactin levels are currently being obtained, also). Surgical specimens were obtained in 29 patients, with subsequent diagnoses of 22 chromophobe adenomas, five eosinophilie adenomas, one cystic adenoma, and one necrotic tumor. All five eosinophilic tumors came from acromegalic patients. Patients treated by operation alone or operation followed by radiotherapy generally had less "medical morbidity" than did patients who received radiotherapy alone.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/00007611-197711000-00024 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Fluid Status Vulnerability in Older Adults.
J Infus Nurs
January 2024
Confidence in Aging, LLC, Alexandria, Virginia (Purvis); Confidence in Aging, LLC, Madison, Wisconsin (Gion).
There is a growing body of evidence about physiological changes with age that impact fluid and electrolyte balance. It is important that infusion nurses have knowledge in managing care for geriatric patients so they can identify these changes when they are exhibited. Knowing how to minimize the effect of these changes on the health of older adults is critical.
View Article and Find Full Text PDFReducing Recurrence and Complications Related to Clostridioides difficile Infection: A Panel Discussion Summary.
Prof Case Manag
October 2022
Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America.
Background: The Centers for Disease Control and Prevention identifies Clostridioides difficile infection (CDI) as an urgent threat to people and health care systems. CDI leads to high health care utilizations and results in significantly reduced quality of life for patients. The high burden of disease is seen across all health care settings, outside of the hospital, in the community, and in younger people.
View Article and Find Full Text PDFStopcocks for Infusion Therapy: Evidence and Experience.
J Infus Nurs
March 2018
Lynn Hadaway Associates, Inc, Milner, Georgia. Lynn Hadaway, MEd, RN-BC, CRNI®, is president of Lynn Hadaway Associates, Inc, and has more than 40 years' experience as an infusion nurse, educator, and consultant. She holds a master's degree in education, as well as certification in professional staff development and infusion nursing. She has published extensively on infusion topics in numerous journals.
Stopcocks have been used for decades to deliver infusion therapy in patients of all ages and in all health care settings. During the past 20 years, a growing number of studies have validated concern about the risk of the open lumen allowing intraluminal contamination. Additional studies highlight fluid flow dynamics associated with stopcocks.
View Article and Find Full Text PDFCommunity-Based Home Health Programs and Chronic Disease: Synthesis of the Literature.
Prof Case Manag
September 2018
Tonya Vandiver, MSN, is a Registered Nurse at Indiana University Health. She has worked in a variety of areas, including critical care, interventional radiology, and ambulatory/post anesthesia care. She is a member of American Society of Perianesthesia Nurses and Sigma Theta Tau International Honor Society of Nursing. She recently completed 360 practicum hours in case management for completion of her MSN degree. Tracy Anderson, MSN, is a Case Manager at Indiana University Hospital. She has over 20 years of health care experience and has worked in a variety of positions including bedside nursing, cardiologist rounding nurse, utilization review management, and case management. Her passion for case management inspired her research in community-based home health programs. She is a member of Sigma Theta Tau International Honor Society of Nursing. Brittani Boston, MSN, is a Pediatric Registered Nurse at Indiana University Hospital. She currently works in the Neonatal Intensive Care Unit, and has over 6 years of experience working with newborns and children in a critical care setting. Recently, she has worked on projects within her hospital that have focused on employee engagement and retention. Her interest in community health has inspired her research in community-based health programs and case management. Cynthia Bowers, DNP, RN, CNE, is an Assistant Professor of Nursing at University of Indianapolis, Indiana. She has over 26 years' health care experience including acute care nursing, new hospital development, operational management, and nursing education. Her research in health care and various published articles has provided experiences to prepare for writing this article. Norma Hall, DNP, RN-BC, CNE, is an Assistant Professor and Dean at the University of Indianapolis in Indianapolis, Indiana. She has over 25 years of experience as a nurse administrator, nurse educator, and consultant. She has published numerous articles on various aspects of nurse management and leadership; presented widely on a variety of subjects, including clinical, leadership, and education topics; and has held offices in professional nursing organizations.
Purpose Of Study: This article reviewed and evaluated literature on the various community-based home health programs and their effectiveness at preventing hospital admissions in adults. The research question addressed is as follows: Do community-based home health programs decrease hospital admissions in adult patients with chronic disease?
Primary Practice Setting: The primary practice setting evaluated in this review of the literature was community-based home health programs.
Methodology And Sample: In this literature review, a seven-step review method was utilized to assess the evidence.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!