A physician suspects a woman of child bearing age to have a prolactinoma. They have run two prolactin tests on the patient and both have been elevated. The next best step is to: O perform a pituitary MRI O exclude pregnancy as the cause O perform a third prolactin level to confirm take the patient off of all medications for two weeks
A physician suspects a woman of child bearing age to have a prolactinoma. They have run two prolactin tests on the patient and both have been elevated. The next best step is to: O perform a pituitary MRI O exclude pregnancy as the cause O perform a third prolactin level to confirm take the patient off of all medications for two weeks
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:### Diagnostic Approach for Suspected Prolactinoma in Women of Childbearing Age
A physician suspects a woman of childbearing age to have a prolactinoma. They have conducted two prolactin tests on the patient and both have returned elevated levels. The next best step is to:
- Perform a pituitary MRI
- Exclude pregnancy as the cause
- Perform a third prolactin level to confirm
- Take the patient off of all medications for two weeks
**Explanation:**
When prolactin levels are elevated, it is important to determine the cause, which can include prolactinoma (a benign pituitary tumor that produces prolactin), pregnancy, or other conditions. The next steps should be carefully considered to ensure accurate diagnosis and appropriate treatment.
In this context, the physician must decide whether to proceed with imaging, rule out other potential causes, recheck hormone levels, or modify the patient's medication regimen. Each option provides a different approach to narrowing down the diagnosis and guiding subsequent management.
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