Pituitary Disease

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to 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 Tasmanian Health Pathways website.

Urgent / category 1

Visual impairment and/or severe headache with pituitary mass.

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

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

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

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

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment