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Old 05-18-2012
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Question Brown Breast Discharge; next step in management?

A 35-year-old female complains of nipple discharge. The discharge is from both breasts, brown in color and occurs intermittently. She has two children who are 5 and 8 years old. She has not been recently pregnant.
Her last menstrual period was one week ago. She describes no other symptoms. Examination shows normal breasts without palpable lumps or nipple abnormalities. Brownish discharge is expressed from the nipples, and it is guaiac negative Which of the following is the most appropriate next step in management?
A. Mammogram
B. Ultrasonogram
C. Cytologic examination
D. Serum prolactin and TSH levels
E. Surgical evaluation
F. No further workup
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MANIAKOS (05-21-2012)

Old 05-18-2012
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prolactin level, cuz Galactorrhea causes nipple discharge that is most often miIky or clear in color, but can also be yellow, brown (guaiac negative), or green.
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Endocrinology-, Step-2-Questions

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