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MedTestBank3D Anatomy for Nursing

Pituitary gland

The pea-sized "master gland" that directs other endocrine glands.

Where it is

In the sella turcica of the sphenoid bone, below the hypothalamus and just behind the optic chiasm.

What it does

Anterior pituitary: GH, TSH, ACTH, FSH, LH and prolactin. Posterior pituitary: stores and releases ADH and oxytocin made by the hypothalamus.

Clinical relevance

  • Pituitary tumors can cause hormone excess (for example acromegaly) and vision loss by pressing on the optic chiasm.
  • Transsphenoidal surgery approaches the gland through the nose.

Nursing focus

  • After transsphenoidal surgery: no coughing, sneezing, straws or bending; report clear nasal drainage (possible CSF leak) and watch urine output for diabetes insipidus.