Prolactinoma Flashcards

1
Q

Prolactinoma

A

pituitary tumour causing inhibition of dopamine agonists resulting in excess prolactin

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2
Q

signs

A

galactorrhoea
nipple discharge
gynaecomastia
amenorrhoea

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3
Q

investigations

A

FBC, U+Es, FSH. LH

MRI

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4
Q

management

A

dopamine agonists - cabergoline, bromocriptine

trans-sphenoidal surgery

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5
Q

other causes of hyperprolactin

A

idiopathic
endocrine - hypothyroid, PCOS
antipsychotic medications

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