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Medicine All India exam ac2b2c6f

An 18-year-old girl presents with amenorrhoea, milk discharge, weight loss. Diagnosis is

A
Pituitary Cancer
B
Anorexia nervosa
C
Hypothyroidism
D
Hypothalamic cause
High-Yield Explanation
Its tempting here to go for Hypothyroidism but that is usually associated with weight gain. However, pituitary tumors and craniopharyngiomas can cause increase in PRL and consequent galactorrhea , weight loss attributed then to the malignant process. Ref - Harrison 20e pg2673

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