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Gynaecology & Obstetrics Disorders of menstruation ea145a88

Lady recovered from severe PPH, complains of failure of lactation and menstruation, which of the following can be seen

A
Increased Excretion of Na
B
Retention of Water
C
Increased Prolactin
D
Increased GnRH
High-Yield Explanation
Sheehan Syndrome Rare consequence of severe postpaum haemorrhage which causes anterior pituatory necrosis and leads to pituitary failure The typical picture is failure of lactation, amenorrhoea, hypothyroidism and adrenocoical insufficiency Failure of lactation is the first sign Ref: Text book of Obstetrics; Sheila balakrishnan; 2 nd edition; Page no 403

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