15 results
Feedback Loop: Prolactin (PRL)
 • PRL levels exhibit diurnal, menstrual, and age-related variation
 • TRH has
Feedback Loop: Prolactin ... PRL secretion Prolactin ... Lactation #Prolactin
Hyperprolactinemia Differential Diagnosis and Workup Algorithm

Dr. Thiago Mendes @mendesthiagob

#Hyperprolactinemia #Prolactin #Differential #Diagnosis #Workup #Algorithm #endocrinology
Hyperprolactinemia #Prolactin
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Algorithm High Prolactin ... Surgery) High Prolactin ... Patch/Ring High Prolactin
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Orchitis Increased Prolactin ... • Prolactin Secreting ... Tumor Normal Prolactin
Antipsychotic Side Effect Profiles (Typical / AtypicaI)

Listed by Extrapyramidal Side Effects (EPSE), Weight Gain, Elevated Prolactin
Gain, Elevated Prolactin
Adverse Effects of Antipsychotic Medications - Comparison Table

First Generation: chlopromazine, haloperidol, fluphenazine 
Second Generation: aripirazole, asenapine,
T2DM, Elevated prolactin
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
TSH, Cr, LFTs, Prolactin
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
challenge, normal prolactin ... Pituitary - High Prolactin
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Secreting • Prolactin
Pituitary Mass Effects - Pathogenesis and Clinical Findings
 • Pituitary turnors are almost always a benign
tumors secrete prolactin ... the exception of prolactin