Pituitary Disorder Gynecomastia

Question 1

Under the influence of estrogen ______ tissue may grow

Answer 1

breast tissue

Question 2

True gynecomastia will be localized to ________ region only

Answer 2

subareolar

Question 3

RED FLAGS: for gynecomastia

Answer 3

(1 Asymmetry
(2 Density located away from subareolar region
(3 Nipple retraction
(4 Nipple bleeding or discharge
(5 Unusual firmness

Question 4

If your patient has red flags what should be done with the pt

Answer 4

medivac

Question 5

All masses or presence of beta hCG warrant what immaging?

Answer 5

Ultrasound

Question 6

Treatment for true gynecomastia

Pubertal gynecomastia is generally _____

Answer 6

self-resolving

Question 7

Adult: Behavioral / iatrogenic

Evaluate for what?

Answer 7

• supplement use
• anabolic steroid use
• excess alcohol intake
• potentially offending medications and adjust when possible

Question 8

What drugs can help cause gynecomastia

Answer 8

1) Alcohol
2) Anabolic steroids
3) OTC supplements with androgenic precursors
4) Antipsychotics
5) Opioids
6) Marijuana
7) Isoniazid
8) Spironolactone