sheehan's syndrome Flashcards
1
Q
wht
A
complication of PPH
drop in circulation blood volume leads to avascular necrosis of anterior pituitary gland
2
Q
what part of pituitary is affected
A
only the anterior
3
Q
blood supply anterior pituitary
A
low-pressure system called hypothalamo-hypophyseal portal system
susceptible to rapid drops in BP
4
Q
what hormones does anterior pituitary release
A
ACTH TSH LSH, FH prolatin GH
5
Q
presentation
A
reduced lactation (lack prolactin)
amenorrhoea (lack FSH, LH)
adrenal insufficiency
hypothyroidism
6
Q
Mx
A
hormone replacement
- oestrogen and progesterone (until menopause)
- hydrocortisone
- levothyroxine
- GH
