ID: A 35-years-old man, married (1children), from zanjan
CC: Headache, Decreased libido, impotency, weight loss of about 20 kg in the last six months
PMH: Negative
DH: Negative
FH: IHD in her father
05/06/1403 (Dr Hosseingholizadeh)
case 1
•A 42-year-old man with decreased libido and impotency since 6 months before diagnosis
q Loss of right eye vision since 1 months before diagnosis
qHe visited an ophthalmologist and due to lesion in brain MRI, he referred to a neurosurgeon in 1398.8
qPMH : negative
qDH : negative
qSH: he addicted to opium since 1 years before diagnosis
case 2
•A 38-year-old pregnant (16 wk) woman with macroprolactinoma
qPMH : secondary amenorrhea since 9 years ago and Galactorrhea following pregnancy since 13 years ago but she had no work-up until she developed loss of right eye vision
qShe has a 13 years old girl
qDH : OCP/cabergoline
qFH : negative
08/05/1403 ( Dr Babazadeh)
case 1
•ID : A 31-year-old woman, single
• CC : irregular mensturation and galactorrhea since 4 years ago
• No weight gain or headache or hirsutism
•DH : aldactone, cabergoline ( started with 0.5mg/wk and increased up to 10mg /w), metformin
•At the Follow-up: the patient developed amenorrhea, Duphastun was initiated for her and cabergoline dose decreased to 3 mg/wk mensturation happened after 10 days
•FH: NEG
case 2
•PI : a 51- year-old man with history of TSS , 5 years ago ( Non functional macro adenoma 36*25 mm ) referred for follow-up visit
•BMI : 50
•DH : neg
•PMH: negative
•FH: negative
04/04/1403 (DR Mahmoodpour)
•A 36-years-old woman, married (2 children), from Isfahan
•CC: oligomenorrhea since 5 years ago, Galactorrhea since 15 months ago and headache and blurred vision since 5 months ago.
•No history of Polyuria and nocturia
•DH: OCP (In some months)
•FH: Negative
•Second delivery of the patient: 1397.9.29
•End of breastfeeding: 1399.3.20
•Prolactin: 46 ng/ml (1399.6.30)
07/03/1403 (Dr Hosseingholizadeh)
case 1
•A 47-year-old woman with unilateral galactorrhea since 4 years ago
•PMH: hypothyroid since 12 years ago
•DH: tablet levothyroxine 50 micg /daily
•FH: hypothyroidism and cerebellum tumor in her mother
case 2
•A 22 years old woman with history of pituitary adenoma resection (Cushing disease) 7 years ago
•She become pregnant in Farvardin 1401 and she had no clinical or laboratory evidence of tumor recurrence before pregnancy
•She gave birth in aban 1401 and then she had a significant increase in her weight so she visited a physician
case 3
•A 44-year-old man referred to an ophthalmologist due to headache and diplopia and MRI was requested for him
•Other symptoms: dizziness, decreased libido since 1.5 years MRI has been
•PMH : negative
•FH : hypothyroidism in his mother and sister
•DH: negative
03/02/1403 Dr Babazadeh
case 1
ID: 26 years old woman , single, known case of prolactinma
Symptom: irregular mense ,galactorea, headache, Weight Gain, hairsutism, dizziness, ortostatic hypotention
Sign: purple striae ( neg), moon face (neg) , snoring (neg), acromegaloid face (neg)
FH: DM , hypothyroidism
PMH : Hypothyroidsm
DH: cabergoline, levothyroxin
case 2
A 42-year-old woman with diabetes and hypertension since 3 years ago
According to the symptoms and sign and tests, the patient was diagnosed with Cushing's two years ago
Sign and symptom: obesity , menometrorrhagia, moon face , purple striae , abdominal obesity
