Nipple Discharge and Galactorrhea

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Introduction

 

 

The Case of...

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Differential Diagnosis

The most common causes are irritation or stimulation.

Physiologic causes are pregnancy, intercourse, and suckling.

Stress can cause galactorrhea.

Often medication-induced

• glucocorticoids
• opiates
• antipshycotics
• bromocriptine

hypothroidism (increased TSH product

breast stimulation, sexual intercourse

 

Persistent, unilateral discharge

 

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History and Physical Exam

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Investigations

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Management

 

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Pathophysiology

Prolactin causes milk secretion.

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Resources and References

 

 

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Topic Development

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