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Pathology Adrenal Gland efef0801

A 35-year-old woman is seen 6 months after giving bih to a normal infant. She suffered severe cervical lacerations during delivery, resulting in hemorrhagic shock. Following blood transfusion and surgical repair, postpaum recovery has so far been uneventful. She now complains of continued amenorrhea and loss of weight and muscle strength. Fuher investigation might be expected to demonstrate which of the following findings?

A
Decreased serum coisol
B
Hyperestrogenism
C
Hyperglycemia
D
Increased serum free thyroxine
High-Yield Explanation
- Given history is strongly suggestive of panhypopituitarism d/t ischemic necrosis of pituitary, occurring as sequelae to childbih complicated by hemorrhagic shock (Sheehan syndrome). - This syndrome is clinically dominated by ove evidence of gonadotropin & coicotropin deficiencies, along with laboratory evidence of these deficiencies & thyrotropin deficiency.

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