Pituitary Disease

This condition is treated in the Endocrinology clinic.

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

• Reason to suspect pituitary disease
• Headaches and other symptoms of mass effect, including bitemporal hemianopia
• Onset of condition
• Past and current treatments including surgery
• Sexual function, if relevant including galactorrhoea

Tests

• Prolactin
• 24 hour urine free cortisol - if suspected Cushing's syndrome
• Growth hormone and IGF-1 - if suspected acromegaly
• FSH, LH, Oestradiol/testosterone, TFTs, ACTH and Cortisol for suspected hypopituitarism
• Computerised visual fields
• CT or MRI pituitary imaging

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

Complex cases should be discussed with endocrinologist for interim management.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Urgent (Category 1)

? Visual impairment and/or severe headache with pituitary mass.

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Availability

North

John Morris Diabetes Centre
Northern Integrated Care Centre

Phone: 6777 4145
Fax: 6777 5247

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928

Diabetes Centre
North West Regional Hospital
Phone: 6493 6100
Fax: 6431 8061

Diabetes Clinic
Devonport Community Health Centre
Phone: 6493 6100
Fax: 6441 5946

Paediatric
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

South

Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982