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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.
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Please refer to the summary above to answer this question
Further evaluation of this patient is most likely to show which of the following findings?"
"Patient Information
Age: 28 years
Gender: F, self-identified
Ethnicity: unspecified
Site of Care: office
History
Reason for Visit/Chief Concern: “I'm not making breast milk anymore.”
History of Present Illness:
1-week history of failure to lactate; has previously been able to breastfeed her twins, who were born 12 months ago
menses resumed 4 months ago but have been infrequent
feels generally weak and tired
has had a 6.8-kg (15-lb) weight gain over the past 2 months despite having a decreased appetite
Past Medical History:
vaginal delivery of twins 12 months ago, complicated by severe postpartum hemorrhage requiring multiple blood transfusions
atopic dermatitis
Social History:
does not smoke, drink alcohol, or use illicit drugs
is not sexually active
Medications:
topical triamcinolone, multivitamin
Allergies:
no known drug allergies
Physical Examination
Temp Pulse Resp BP O2 Sat Ht Wt BMI
37°C
(98.6°F)
54/min 16/min 101/57 mm Hg –
160 cm
(5 ft 3 in)
70 kg
(154 lb)
27 kg/m2
Appearance: tired-appearing
HEENT: soft, nontender thyroid gland without nodularity
Pulmonary: clear to auscultation
Cardiac: bradycardic but regular rhythm; normal S1 and S2; no murmurs, rubs, or gallops
Breast: no nodules, masses, or tenderness; no nipple discharge
Abdominal: overweight; no tenderness, guarding, masses, bruits, or hepatosplenomegaly; normal bowel sounds
Extremities: mild edema of the ankles bilaterally
Skin: diffusely dry
Neurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficits; prolonged relaxation phase of multiple deep tendon reflexes"
assistant
Decreased serum oxytocin concentration