29th September 2021

A 34-year-old woman presents to A+E with a blood pressure of 70/50, drowsiness and confusion (2)

A 34-year-old woman presents to A+E with a blood pressure of 70/50, drowsiness and confusion. Capillary blood glucose measurements reveal a glucose reading of 2mmol/L, and thus she is given IV dextrose.

She has a four-month history of worsening vision and complains of ‘not being able to see her peripherals’. Her periods have been extremely irregular and she has been leaking milk from both of her nipples despite never being pregnant.

What is the definitive management of the patient’s condition?