galactorrhoea question

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galactorrhoea question

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dermatology
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09/08/07 - 01:11 PM

previously healthy 28 year old unmarried female studying for USMLE boards . exams all lined up till end of year so that she can start surgical residency next year comes with C/C of amenorrhoea and galactorrhoea since last 6 months . no other complaints . HCG = -tive , TSH = normal, MRI = -tive , prolactine = high.... treatment?????

a.bromocriptine

b.ocp

c.dicloxacillin

d.MgSo4

e.observation

f.thyroxine

salo
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09/08/07 - 02:34 PM

A, bromocriptine?

liliaeliz
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09/08/07 - 02:50 PM

E post stress

Justice
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09/08/07 - 04:05 PM

liliaeliz wrote:
E post stress

...last 6 months... For how many extra months would you observe this woman?

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Kamsi
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09/09/07 - 12:12 PM

epica

09/10/07 - 09:14 AM

starcraftbw
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09/11/07 - 03:53 PM

A.... wowman with pituitary tumor is usually microscopic (so you won't see it on MRI)

dr in trouble
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09/11/07 - 06:58 PM

amenorrhea can be d/t stress and anxiety but not galactorrhea, so u shud give bromocriptine.

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dermatology
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09/12/07 - 03:08 PM

patient has pitutiary microadenoma and treatment shud b bromocriptine ... but answer given was OCP as patient acc to question is ready for residency and dont want baby ... if patient wanted baby bromocriptine is the answer...

confused

Justice
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09/12/07 - 03:16 PM

#10

dermatology wrote:
patient has pitutiary microadenoma and treatment shud b bromocriptine ... but answer given was OCP as patient acc to question is ready for residency and dont want baby ... if patient wanted baby bromocriptine is the answer...

confused

And who made this WONDERFUL question?

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dermatology
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09/12/07 - 04:26 PM

#11

heheheh justice i dont know i saw it some where dont remember where...

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