hyperprolactinemia
33 yrs female with chief complaint of irregular menses and galactorhea since 6 yrs History of migraine since 3yrs Drug history - tab epitop- 50mg Tab Amicon 10 Cap vancobal plus Tab xenodom 500mg (sos) Menstrual history- 3-5days cycle 60 days Obst history - P1L1A2 Family history- nothing significant Investigation - as mentioned below Help me to get the diagnosis in terms of ayurveda
Cabergoline tab 0.5mg for hyperprolactinemia. Pushyanug churna+amycordial syp For migraine- cephagrain cap2cap bd Sirsooladi vajraras 2tab bd Godanti+pravalbhasam cow ghee me milakar..sevan.. Shadbindu taila ka nasya.. Breakfast me doodh jalebi khaye
7 days, punarnavshtak qwath BD Giloyghan vati 1 BD after 7 days, lodhra powder half teaspoon + nagkesar powder half teaspoon with milk and giloy ghanvati 1BD for 1 to 2 week
Patient suffering from perital empty sella syndrome?? A critical disease Patient treated under take neurologist with neurosurgeon
and migrain ke liye, abhyadi qwath BD giloy ghan 1BD and panchsakar powder 1/4 or 1/3 teaspoon HS for 2 to 3 week
Vat caf acid sheet pitt h
Tact pitt acid ok
Tact pitt acid caf ok kro
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CAUSES OF HYPERPROLACTONEMIA : Hyperprolactinemia in females leads to amenorrhea, galactorrhoea and infertility. Causes are PHYSIOLOGICAL: 1) Pregnancy. 2) Post partum. 3) Wet nursing reflex ( crying baby) 4) Chest wall reflex. 5) Stress. 6) Sleep. 7) Physical activity. PHARMACOLOGICAL : 1) DOPAMINE RECEPTOR BLOCKERS - Phenothiazines . -Chlorpromazine. -Metoclopramide. -Butyrophenones.-Haloperidol 2) SEROTONIN REUPTAKE INHIBITORS : -Fluoxetine. 3) H2 ANTAGONISTS - Cimetidine. 4) TRICYCLIC ANTIDEPRESSANTS: -Amitriptyline. 5) DOPAMINE SYNTHESIS INHIBITORS. -Methyldopa. 6) CALCIUM CHANNEL BLOCKERS: - Verapamil 7) HORMONES - Estrogen. PATHOLOGICAL: 1) Pituitary disease. 2) Prolactinomas. 3) Acromegaly. 4) Hypothalamus disease. 5) Tumours of Pituitary. 6) Non functioning Pituitary adenoids. 7) Meningioma. 8) Craniopharyngioma. 9) Empty Sella syndrome. 10) Inflammatory- sarcoidosis, Histiocytosis. 11) Neurogenic lesions. 12) Chest wall lesions. 13) Spinal cord lesions. OTHERS : 1) Primary hypothyroidism. 2) Adrenal insufficiency. 3) Chronic renal failure. 4) Cirrhosis. 5) Pseudocyesis. 6) Epileptic seizures.
Dr. Suvarchala Pratap4 Likes6 Answers - Login to View the image
CAUSES OF SECONDARY AMENORRHEA. DISORDERS ASSOCIATED WITH LOW OR NORMAL FSH : 66 % of cases . 1. Weight loss /Anorexia. 2. Chronic Anovulation including PCOS 3. Hypothyroidism. 4. Cushing syndrome. 5. Pituitary tumor , empty sella syndrome. Sheehan syndrome. DISORDERS ASSOCIATED WITH HIGH FSH. 12 % of cases. 1. 46,XX spontaneous POF. 2. POF due to abnormal karyotype ( 45,X mosaic / ring chromosome ). 3. Pure gonadal dysgenesis. 4. Hyperprolactinaemia. 5. Asherman syndrome. DISORDERS ASSOCIATED WITH HYPERANDROGE- NISM : 1. PCOS. 2. Ovarian tumor. 3. Non classical CAH. IATROGENIC. 1. Anti psychotics. 2. Cancer chemotherapy. 3. Anti depressants. 4. Anti hypertensive.
Dr. Suvarchala Pratap31 Likes24 Answers - Login to View the image
New case 66 yr , M , Asymptomatic till 5 days ago when he developed severe continuous headache on the rt hemicranium & at times diffusely.Denied having any associated sumptoms. Evaluated at a private MCH , ct brain was done reported as normal .Pt requested discharge & came to our hospital. On exam normal optic fundi, no field deficit, no neckstiffness, no focal deficits.All routein blood workup , blood biochemistry. Thyroid functions were normal.Prolactin 5.8ng/ ml( N.04-15.2) opinion of the case.
Dr. Manorama Rajan0 Like11 Answers - Login to View the image
A 45 years female with vascular headache on regular treatment on flunarizine + propranolol. MRI brain shows normal study except partial empty sella turcica and empty sella filled with CSF . Significance of empty sella . Opinions welcomed
Dr. Parveen Yograj3 Likes8 Answers - Login to View the image
A female 54 years old presents with headaches, nausea, vomiting, and vertigo. Sagittal T1, axial T2, and axial T2 FLAIR MRI of the head are shown below. Post ur diagnosis and treatment plans.
Dr. Kashish Garg0 Like4 Answers
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