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ACROMEGALY

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Mind Map on ACROMEGALY, created by chelseahepner on 11/18/2013.
chelseahepner
Mind Map by chelseahepner, updated more than 1 year ago
chelseahepner
Created by chelseahepner over 11 years ago
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Resource summary

ACROMEGALY
  1. PRESENTATION
    1. OVERGROWTH OF BONES AND TISSUES
      1. CARDIAC ENLARGEMENT
        1. HYPERTENSION
          1. HEPATOMEGALY
            1. LEFT VENTRICULAR HYPERTROPHY
            2. HYPERSECRETION OF GH IN ADULTS
              1. CHILDREN
                1. GIANTISIM
              2. TREATMENT
                1. MEDICATIONS
                  1. DOPAMINE
                    1. suppresses GH secretion
                    2. Somatostatin (sandostatin)
                      1. Reduces GH levels
                        1. patient teaching for injections
                          1. subQ
                            1. IV
                              1. IM
                              2. side effects
                                1. gallbladder disease
                          2. STEREOTACTIC RADIATION THERAPY
                            1. LINEAR ACCELERATOR
                              1. GAMMA KNIFE
                                1. surgical
                                  1. hypophysectomy
                                    1. care
                                      1. preoperative
                                        1. antibiotic nose drops
                                          1. teaching
                                            1. avoid valsalva maneuver
                                              1. avoid coughing and sneezing
                                                1. mouth breathing only, nose will be packed
                                              2. postoperative
                                                1. HOB elevated
                                                  1. medicate for pain
                                                    1. no toothbrush
                                                      1. assess for nasal drainage
                                                    2. complications
                                                      1. CSF leak
                                                        1. positive for glucose
                                                          1. resolved with raised HOB
                                                            1. not resolved?
                                                              1. spinal tap to reduce pressure and for healing
                                                            2. risk for infection
                                                            3. infection
                                                              1. meningitis
                                                                1. headache?
                                                                  1. fever?
                                                                    1. muscle ridgitiy?
                                                                  2. DI
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