The Curbsiders Internal Medicine Podcast

#513 Pituitary Incidentalomas


Listen Later

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)

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • 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. 

      Sponsor: Continuing Education Company

      Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

      Sponsor:
      Mint Mobile

      New customers can make the switch today and for a limited time, get unlimited premium wireless for just $15 per month. Switch now at mintmobile.com/CURB

      Sponsor:
      Locumstory

      Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.


      Sponsor:
      FIGS

      Check out the limited-edition Team USA collection, and get 15 percent off your first order at Wearfigs.com with code FIGSRX

      ...more
      View all episodesView all episodes
      Download on the App Store

      The Curbsiders Internal Medicine PodcastBy The Curbsiders Internal Medicine Podcast

      • 4.8
      • 4.8
      • 4.8
      • 4.8
      • 4.8

      4.8

      3,205 ratings


      More shows like The Curbsiders Internal Medicine Podcast

      View all
      EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

      EMCrit FOAM Feed

      1,875 Listeners

      NEJM This Week by NEJM Group

      NEJM This Week

      328 Listeners

      Emergency Medicine Cases by Dr. Anton Helman

      Emergency Medicine Cases

      543 Listeners

      AFP: American Family Physician Podcast by American Academy of Family Physicians

      AFP: American Family Physician Podcast

      705 Listeners

      JAMA Clinical Reviews by JAMA Network

      JAMA Clinical Reviews

      500 Listeners

      Core EM - Emergency Medicine Podcast by Core EM

      Core EM - Emergency Medicine Podcast

      257 Listeners

      White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

      White Coat Investor Podcast

      2,459 Listeners

      Emergency Medical Minute by Emergency Medical Minute

      Emergency Medical Minute

      272 Listeners

      Core IM | Internal Medicine Podcast by Core IM Team

      Core IM | Internal Medicine Podcast

      1,148 Listeners

      The Clinical Problem Solvers by The Clinical Problem Solvers

      The Clinical Problem Solvers

      516 Listeners

      Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

      Harrison's PodClass: Internal Medicine Cases and Board Prep

      362 Listeners

      Cardionerds: A Cardiology Podcast by CardioNerds

      Cardionerds: A Cardiology Podcast

      439 Listeners

      The Cribsiders by The Cribsiders

      The Cribsiders

      326 Listeners

      Ninja Nerd by Ninja Nerd

      Ninja Nerd

      321 Listeners

      Critical Care Time by Critical Care Time Podcast

      Critical Care Time

      273 Listeners