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Images in Clinical Medicine
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Volume 342:550 February 24, 2000 Number 8
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Pituitary Apoplexy

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Figure 1. A 70-year-old man presented with a five-day history of worsening headaches associated with vomiting and confusion on the day of admission. He was being treated with warfarin for transient ischemic attacks and left ventricular dysfunction. There was no history of endocrine dysfunction, and he had no visual symptoms. The blood pressure, pulse, and visual fields were normal, and there were no signs of adrenal, gonadal, or thyroid deficiency. The prothrombin time was 26.6 seconds (international normalized ratio, 4.9). The serum concentrations of follicle-stimulating hormone, luteinizing hormone, testosterone, prolactin, thyrotropin, thyroxine, and insulin-like growth factor I were low. . . . [Full Text of this Article]

 



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