Endocrinology
Hypopituitarism Management
Anterior + posterior pituitary deficiencies — prioritise cortisol replacement first, then thyroid, sex steroids, GH, ADH; sick-day rules.
Source: Endocrine Society 2016; Society for Endocrinology
Step 1 of ~3
info
Recognise + Workup
Causes: pituitary adenoma + treatment, surgery, radiotherapy, apoplexy (see separate pathway), Sheehan's, lymphocytic hypophysitis, infiltrative (sarcoid, haemochromatosis), TBI, autoimmune. Test all axes: 9 AM cortisol + ACTH, fT4 + TSH, IGF-1 + GH, LH/FSH/oestradiol or testosterone, prolactin, sodium + paired urine osmolality (DI screen), water deprivation if DI suspected.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Promethazine hydrochloride · First-generation H1-antihistamine (phenothiazine)
- Sodium chloride · Saline IV fluid / replacement
- Levothyroxine · Thyroid Hormone
- Hydrocortisone (Oral Replacement) · Glucocorticoid Replacement
Pathways
- Diabetic Ketoacidosis (DKA) · JBDS 2013 / Joint British Diabetes Societies; NICE NG17
- Adult Hypoglycaemia (Treated Diabetes) · JBDS-IP (2023): Hospital Management of Hypoglycaemia
- Adrenal Crisis · Society for Endocrinology Emergency Guidance (2024)
- Type 2 Diabetes Management · NICE NG28 2022
- Hyperthyroidism Management · BTA / ETA 2018
- Adrenal Insufficiency · Society of Endocrinology / ESE 2016
Decision support only. Always apply local guidelines and clinical judgement.