A 30-year-old woman presents 2 months after a complicated delivery with massive postpartum hemorrhage requiring transfusion. She reports inability to lactate, fatigue, cold intolerance, and amenorrhea. Vital signs show BP 98/62, HR 58, temperature 36.1°C. She denies taking levothyroxine or other medications. Laboratory studies reveal TSH 8.2 mIU/L and free T4 0.8 ng/dL. Which of the following is the most likely diagnosis?

  1. A)Sheehan syndromeGABARITO
  2. B)Postpartum thyroiditis
  3. C)Prolactinoma
  4. D)Lymphocytic hypophysitis due to MEN 1
  5. E)Primary ovarian insufficiency

Explicação

Sheehan syndrome is ischemic necrosis of the anterior pituitary after severe postpartum hemorrhage causing panhypopituitarism. Ver explicação completa e trilha adaptativa →

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