What a headache

Name the two important bedside tests that will allow diagnosis or exclusion of pre-eclampsia (1 mark)

The patients blood pressure is 85/60 (Booking blood pressure 105/70), HR 105, urine dip is negative for protein. On examination the patient has bitemporal hemianopia, the rest of the neurological examination is unremarkable and there are no signs of meningism.

What is the most likely diagnosis? Name the next most appropriate investigation. (0.5 marks per correct answer)

The patient receives analgesia and is more comfortable.

The CT scan demonstrates a small Sellar (pituitary) mass. List your 2 next steps in the management of this patient. (1 mark, 0.5 marks for each correct answer)