A 43-year-old woman presents with a 3-month history of chronic headaches and diplopia. CASE 3:
- A 43-year-old woman presents with a 3-month history of chronic headaches and diplopia. She has no significant past medical history. Review of symptoms reveals easy fatigability, cold intolerance, galactorrhoea, and amenorrhoea for the past 6 months. Physical examination findings include periorbital oedema, normal-sized thyroid, bradycardia, galactorrhoea. Her lab tests are total T4 3.8 ug/dL, TSH 0.3mIU/L, serum PRL > 1200 mU/L (normal range < 750mU/L)
What are the key points in the history and examination that may assist you to identify her problem and why?
What is the main diagnosis?
List 3 most possible differential diagnosis and explain how to differentiate them from your most possible diagnosis.
What laboratory test can be recommended and why?.
List at least one pharmaceutical agent that can be used for the condition and identify at least 2 most common adverse effects and any contra indications
Explain the pathology of the condition
Consider and note any contraindications to your health assessment findings.