Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts.Upon examination,there are no significant findings and the patient is not pregnant,breastfeeding,or in the postpartum period.You should:

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As there are no significant findings on examination, it is more likely that the milky discharge is caused by medication-induced hyperprolactinemia. Therefore, obtaining a complete list of the patient's current medications is the best choice as certain medications such as antipsychotics can cause hyperprolactinemia. Once identified, the medication can be adjusted or changed to resolve the issue. A CT scan of the head would be appropriate if other symptoms or signs of pituitary tumor are present. Keeping a menstrual cycle diary is unnecessary in this case, as the patient is not exhibiting any menstrual cycle-associated symptoms. Referral for mammogram is also not indicated, as there are no signs of breast disease.

Your Patient Is a 46-Year-Old Woman Suffering from Psychosis Complains