Neuroendocrine tumors of the gastrointestinal system Quiz: Ace Your Exams
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A 37-year-old woman presents to her primary care physician due to abnormal menstrual cycles. The patient has not had menstrual periods for the last three months. Before developing amenorrhea, the patient has noticed decreased menstrual bleeding for several months. She has also noticed a milky discharge from the breasts. Two pregnancy tests were performed at home, and both were negative. Past medical history is unremarkable. Laboratory testing is performed and shown below. Temperature is 37.0°C (98.6°F), blood pressure is 127/76 mmHg, and pulse is 69/min. Cardiac, pulmonary, and abdominal examinations are unremarkable. This patient is at risk of developing one of the following?
1Referece Range: 230-630 mg/ml
2Reference Range: < 20 ng/ml
| Laboratory Value | Result |
| Sodium | 142 mEq/L |
| Potassium | 4.2 mEq/L |
| Chloride | 95 mEq/L |
| Creatinine | 0.9 mg/dL |
| Albumin | 3.2 g/dL |
| Calcium | 12 mg/dL |
| Parathyroid hormone1 | 85 pg/ml |
| Prolactin2 | 200 ng/ml |
2Reference Range: < 20 ng/ml
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