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March 25, 2024

A 24-year-old woman complained of an unstable menstrual cycle from 22 years after her brain injury, and the last 5 months

A 24-year-old woman complained of an unstable menstrual cycle from 22 years after her brain injury, and the last 5 months she has amenorrhea. He also complains of headache, apathy, memory impairment, dry skin and periodic discharge from the mammary glands. Objectively: BMI 26.0, female body type. Vaginal examination: the external genitalia are developed correctly, the pathology of the internal genitalia is not revealed. Determine the primary diagnostic tactics for this patient. * 1 point Determination of the level of ovarian hormones (estradiol, progesterone), prolactin level. Determination of the level of gonadotropic hormones (FSH, LH, prolactin). MRI of the hypothalamic-pituitary region, determination of the level of prolactin. Determination of the level of thyroid hormones, ultrasound of the thyroid gland. Ophthalmologic examination of the fundus, fields of vision.

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