18 year old girl presents with amenorrhea, anorexia, weight loss and with milk discharge from the nipples. What is the likely diagnosis?
Correct Answer: Anorexia nervosa
Description: Anorexia nervosa H v pothvroidism It can be easily ruled out as it causes weight gain and menorrhagia. HIV H.I.V does not ause menstrual symptoms. Galactorhoea is also not associated with H.I.V. Occult carcinoma Is a small carcinoma either asymptomatic or giving rise to metastasis without symptoms due to primary carcinoma. It is very unlikely for occult carcinoma to cause galactorrhoea and amenorrhoea together with anorexia and weight loss. Anorexia nervosa The following points strongly suggests Anorexia nervosa Female sex Young age (18 years) Amenorrhoea Anorexia , weight loss Galactorrhoea can occur in Anorexia because of increase in prolactin secretion
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