Protein Steroid Management Of Patients With A Normal...

Pituitary Surgery Perioperative Steroid Management in Patients with a Normal Hypothalamic Pituitary Axis INTRODUCTION Surgery on the pituitary gland and around the sellar region is of special interest to the neurosurgeon. The approach to the gland has evolved over the past 50 years and so has the role of steroids in the perioperative management of these patients. Being one of the organs that play a key role in the hormonal balance of an individual, the neurosurgeon should be particularly careful that all steps must be taken to optimise the hormonal status and also ensure there is no disruption in that balance postoperatively. For more than half a decade the meticulous administration of steroid perioperatively has become common place. Today, however, the old philosophies are being challenged and new philosophies pioneered creating a paradigm shift in the way we manage patient requiring an operation around the sellar region, in particular pituitary surgery. CASE A 47 year old hypertensive male presented to the outpatient department at our institution with a history of headaches and worsening vision over a one year period. In particular he noticed that he had difficulty in seeing peripherally. His headaches were pounding in character and frontal in location. He had no other significant symptoms. On examination his vital signs were within normal limits. His Glasgow Coma Score (GCS) was 15 with no motor deficits. His visual acuity was 20/200 in both eyes and heShow MoreRelatedAdrenal Gland9709 Words   |  39 Pageswhile the medulla chiefly produces epinephrine and norepinephrine. Cortex The adrenal cortex is devoted to the synthesis of corticosteroid hormones from cholesterol. Some cells belong to the hypothalamic-pituitary-adrenal axis and are the source of cortisol and corticosterone synthesis. Under normal unstressed conditions, the human adrenal glands produce the equivalent of 35–40  mg of cortisone acetate per day.[1] Other cortical cells produce androgens such as testosterone, while some regulateRead MoreAdrenal Crisis Of A Pediatric Patient : A Case Review Essay2362 Words   |  10 PagesTitle Page Adrenal crisis in a pediatric patient: A case review 400 W Mineral King Ave, Visalia, Ca 93291 Lake Erie College of Osteopathic Medicine, Kaweah Delta Health Care District Adrenal crisis in a pediatric patient: A case review 1) Why is this topic important? It is important to rapidly identify adrenal crisis to correct the underlying deficiency and treat the patient’s symptoms to prevent further deterioration. 2) What does this study attempt toRead MoreSquare Pharma Product Marketing5713 Words   |  23 Pagesobligations. * It owes to our shareholders and strive for protection of their capital as well as ensure highest return and growth of their assets. * It strives for best compensation to all the employees who constitute the back-bone of the management and operational strength of the Company through a pay-package composing salary/wages, allowances, bonus, profit participation, leave salary and superannuation amp; retirement benefits. * It strives for best co-operation of the creditors amp;