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Table 93.1

Urgent Investigation in Suspected Pituitary Apoplexy

  • Creatinine and electrolytes
  • Blood glucose
  • Venous blood gases and lactate
  • Baseline pituitary profile: cortisol, ACTH, TSH and free T4, prolactin, growth hormone, insulin-like growth factor-1, luteinizing hormone, follicular-stimulating hormone and testosterone (male) or oestradiol (female)
  • Full blood count
  • Coagulation screen
  • C-reactive protein
  • Blood culture
  • Urine microscopy and culture
  • Chest X-ray
  • ECG
  • MRI brain