Following a motor accident, a patient complained of headaches,
being constantly
thirsty and urinating more frequently than usual. A computed
tomography (CT) scan
showed that the patient had which one of the following?
A. internal bleeding that damaged the posterior hypothalamus
B. a lesion (damage) to the anterior pituitary
C. a transection/disruption of the infundibulum
D. a blood clot in the hypothalamic-hypophyseal portal system
The posterior hypothalamus helps in thermoregulation. It also
increase BP and dilates the pupil. So it does not have any part in
increased thirst and urination. So option A is not correct
answer.
Anterior pituitary secretes LH, FSH, growth hormone, ACTH and
thyroid stimulating hormone. None of these hormones take part in
increased thirst and urination. So option B is not the correct
answer.
Infundibulum or the pituitary stalk contains connection between the hypothalamus and posterior pituitary known as hypothalamus hypophyseal tract. Damage to infundibulum results in blockage of release of vasopressin from hypothalamus to posterior pituitary. This results in increased thirst and increased urination. So the answer is C.a transection/disruption of the infundibulum
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