#513  Pituitary Incidentalomas

#513 Pituitary Incidentalomas

Author: The Curbsiders Internal Medicine Podcast February 2, 2026 Duration: 1:23:51

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • Intro
  • Rapid fire questions/Picks of the Week
  • Case 1
  • Defining Pituitary Incidentalomas
  • What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
  • Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
  • Decided when to reimage patients and long term follow up of microadenomas
  • Case 2
  • Hormonal workup for pituitary macroadenoma
  • Deciding when surgery should be considered
  • Discussing the role of visual field testing
  • Case 3
  • Defining empty sella syndrome
  • Discussing hormonal assessment of empty sella syndrome
  • Treatment options for hyperprolactinemia caused by empty sella syndrome
  • Outro

Credits

  • Producer, writer, show notes, and CME: Mobeen Ahmad MD
  • Infographic and cover art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Dr. Maria Fleseriu


Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Sponsor: Continuing Education Company

Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor:
Mint Mobile

New customers can make the switch today and for a limited time, get unlimited premium wireless for just $15 per month. Switch now at mintmobile.com/CURB

Sponsor:
Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.


Sponsor:
FIGS

Check out the limited-edition Team USA collection, and get 15 percent off your first order at Wearfigs.com with code FIGSRX


Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
#450 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 1 [not-audio_url] [/not-audio_url]

Duration: 1:02:50
Quit playing games with my heartDon’t skip a beat and join us in part 1 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exa…
REBOOT #326 NephMadness 2022: Cardiorenal Syndrome [not-audio_url] [/not-audio_url]

Duration: 55:36
We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMad…
REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings [not-audio_url] [/not-audio_url]

Duration: 1:13:47
We're taking a short summer break, but we'll be back at the end of August with brand new episodes. AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of NephrologyGet a grip on acute kidney injury (AKI) with Dr. Joel…
REBOOT #316 Lower Extremity Edema with The Curbsiders [not-audio_url] [/not-audio_url]

Duration: 1:04:47
We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Your swell guide to the swollen legWe're taking a short summer break, but we'll be back at the end of August with brand n…

«1...678910