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Author Question: Bloody breast discharge is associated with which of the following? A. Bleeding disorder such as ... (Read 311 times)

michelleunicorn

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on: Jun 25, 2018
Bloody breast discharge is associated with which of the following?
 
  A. Bleeding disorder such as von Willebrand disease
  B. Malignancy
  C. Excessive non-steroidal anti-inflammatories
  D. A and C

Question 2

Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts. Upon examination, there are no significant findings and the patient is not pregnant, breastfeeding, or in the postpartum period. You should:
 
  A. Order CT scan of head to rule out pituitary tumor
  B. Obtain a complete list of the patient's medications
  C. Have the patient keep a menstrual cycle diary
  D. Refer the patient for mammogram


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samiel-sayed

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
Bloody discharge is often associated with malignancy but can stem from other conditions. If blood is not evident, the discharge should be tested for blood, using guaiac process.

Answer to Question 2

ANS: B
Galactorrhea is characterized by bilateral and milky discharge from multiple ducts in a woman who is neither pregnant nor lactating. Causes of galactorrhea include a variety of drugs as well as an elevated prolactin level associated with pituitary tumor or hyperthyroidism. The drugs associated with galactorrhea include antidepressants (amitriptyline, imipramine), psychoactives (haloperidol, thioridazine), hormones (estrogens, progestogens), antiepileptics (valproic acid), and antihypertensives (verapamil). This list is not exhaustive.


michelleunicorn

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Reply #2 on: Jun 25, 2018
Thank you


samiel-sayed

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Reply #3 on: Jun 25, 2018
No problemo


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