PM is a 15-year-old young woman who had her menstrual period at age 11.

PM is a 15-year-old young woman who had her menstrual period at age 11. Recently, she has been experiencing double vision, headaches, and amenorrhea. A skull MRI indicates a pituitary adenoma Blood tests indicate low estrogen, progesterone, and TSH levels.

Discussion Questions

Discuss the relationship of the pituitary gland to the optic nerve and its role in controlling sex hormones and thyroxine.

Explain why this benign tumor must be surgically removed.

Explain the effects that you would expect to see in PM caused by the reduced TSH level. How will these be treated after surgery?

Explain the manifestations that PM has experienced in terms of the pathophysiology.

Solution Preview


Pituitary gland to the Optic nerves: The most common problem which affects the pituitary gland is a benign growth of the gland, also known as an adenoma. Pituitary adenomas either produce excessive amounts of pituitary hormones themselves, or the gro…