system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 33-year-old woman presents to her primary care physician for non-bloody nipple discharge. She states that it has been going on for the past month and that it sometimes soils her shirt. The patient drinks 2 to 3 alcoholic beverages per day and smokes 1 pack of cigarettes per day. She is currently seeking mental health treatment with an outpatient psychiatrist after a recent hospitalization for auditory hallucinations. Her psychiatrist prescribed her a medication that she can not recall. Otherwise, she complains of headaches that occur frequently. Her temperature is 98.6°F (37.0°C), blood pressure is 137/68 mmHg, pulse is 70/min, respirations are 13/min, and oxygen saturation is 98% on room air. Physical exam is notable for bilateral galactorrhea that can be expressed with palpation. Which of the following is the best next step in management?
assistant
TSH level