galactorrhoea Flashcards
1
Q
what
A
breast milk production not assoc with pregnancy or breastmilk
2
Q
breast milk is produced in response to…
A
prolactin
3
Q
what blocks secretion of prolactin
A
dopamine - therefore dompamine antagonists (antipsychotics) can raise prolactin
4
Q
usually assoc with
A
raised prolactin level
5
Q
causes of hyperprolactinaemia
A
idiopathic
prolactinomas
endocrine. -hypothyroidism, PCOS
dopamine antaganonist e.g. antipsychotics
6
Q
hyperprolacitnaemia features
A
galactorrhoea gynaecomastia menstrual irregularities reduced libido ED in men
7
Q
prolactinomas
A
tumours of pituitary gland which secrete excessive prolactin
can be assoc with MEN1
can cause bitemporal hemianopia
8
Q
non-milk discharge
A
mammary duct ecstasia
duct papilloma
pus from asbcess
9
Q
Ix
A
serum prolactin U&Es LFTs TFTs MRI
10
Q
dopamine agonists
A
e.g. bromocriptine, cabergoline
used to treat symptoms of hyperprolactinaemia
