Amenorrhea (Sheehan Syndrome) Flashcards Preview

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Flashcards in Amenorrhea (Sheehan Syndrome) Deck (7)
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0

Patient post delivery with amenorrhea and inability to breast-feed?

If patient had been able to breast-feed, most likely diagnosis?

Sheehan syndrome; intrauterine adhesions

1

Sheehan syndrome?

Anterior pituitary hemorrhagic necrosis caused by hypertrophy of the prolactin-secreting cells in conjunction with a hypertensive episode

Postpartum hemorrhage

2

Postpartum hemorrhage?

Over 500 mL for vaginal delivery or over 1000 mL for C-section

3

When to worry about pathologic amenorrhea post pregnancy?

No resumption of menses 12 weeks after delivery in a non-lactating woman

4

Amenorrhea in a postpartum woman without history of postpartum hemorrhage?

Pursue hypothalamic causes (hypothyroidism, hyperprolactinemia)

5

Treatment of Sheehan syndrome ?

Replacement of hormones

6

Basal body temperature in Sheehan syndrome?

Monophasic (normally biphasic)