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Peking University Sixth Hospital
Outpatient Medical Record
Visit Date: June 30, 2025 Name: Zhao Jpanda Gender: Female Age: 17 Patient ID: 000349019000
Accompanied by: Father
Present Condition: Sulpiride 0.1g + Lamotrigine 50mg/day. Previously stable, but over the past month, the patient has experienced poor sleep (sometimes sleeping up to 14 hours a day), occasional irritability and palpitations. Menstruation is irregular, with slight galactorrhea. Increased appetite after medication (not significant before treatment). No other discomforts. Elevated prolactin levels. Sleep onset delayed until 4-5 AM.
Management Plan: 1.Consultation recommended. 2. Advised to undergo regular follow-up lab tests. 3. Follow-up.
Contact Information:
Rp: 1.Routine Electrocardiogram (ECG) --- Complete Blood Count + C-Reactive Protein --- New Biochemical Profile + (K⁺, Na⁺, Cl⁻) Elevated LDL Hormonal Assay PRL 3510uIU/ml (TFT-5) TSH 8. 7uIU/ml | 2. Sulpiride 0.15-0.3qn Bromocriptine 2.5-10mgqd (Patient-supplied) Lamotrigine 75-100mgqd |