Monday, September 26, 2016

Postpartum

A woman has postpartum hemorrhage from placenta previa after a spontaneous vaginal delivery. Despite adequate resuscitation, she has persistent hypotension and spends several nights in the ICU. Eventually, she is discharged home, though her blood pressures remain quite low. She has some symptoms of orthostasis but really wants to go home. On her first postpartum visit, she notes that she hasn't been lactating. A few weeks later, she also complains of fatigue and anorexia. A year later, she has persistent oligomenhorrhea.

Challenge: What syndrome do you suspect?

2 comments:

Anonymous said...

Sheehan's syndrome?

Craig Chen said...

exactly!
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Postpartum

This is Sheehan syndrome or postpartum hypopituitarism.

Source: UpToDate.