A 32 year old woman is brought for evaluation 2 weeks after a complicated delivery with massive postpartum hemorrhage. She is unable to breastfeed and feels weak and lightheaded. Blood pressure is low. Laboratory testing shows low ACTH, low TSH, and low prolactin. Which of the following is the most likely diagnosis?
- A)Sheehan syndromeGABARITO
- B)Pituitary apoplexy
- C)Lymphocytic hypophysitis
- D)Syndrome of inappropriate ADH secretion
- E)Empty sella syndrome
Explicação
Sheehan syndrome is ischemic necrosis of the enlarged anterior pituitary after severe postpartum hemorrhage. Failure to lactate from low prolactin and other anterior pituitary hormone deficiencies are classic. The posterior pituitary is usually spared because ... Ver explicação completa e trilha adaptativa →