Sheehan's syndrome differential diagnosis: Difference between revisions

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==Overview==
==Overview==
Sheehan syndrome must be differentiated from lymphocytic hypophysitis, pituitary apoplexy<ref name="pmid8325288">{{cite journal |vauthors=Rolih CA, Ober KP |title=Pituitary apoplexy |journal=Endocrinol. Metab. Clin. North Am. |volume=22 |issue=2 |pages=291–302 |year=1993 |pmid=8325288 |doi= |url=}}</ref><ref name="pmid1520058">{{cite journal |vauthors=Vidal E, Cevallos R, Vidal J, Ravon R, Moreau JJ, Rogues AM, Loustaud V, Liozon F |title=Twelve cases of pituitary apoplexy |journal=Arch. Intern. Med. |volume=152 |issue=9 |pages=1893–9 |year=1992 |pmid=1520058 |doi= |url=}}</ref><ref name="pmid8183446">{{cite journal |vauthors=Lazaro CM, Guo WY, Sami M, Hindmarsh T, Ericson K, Hulting AL, Wersäll J |title=Haemorrhagic pituitary tumours |journal=Neuroradiology |volume=36 |issue=2 |pages=111–4 |year=1994 |pmid=8183446 |doi= |url=}}</ref>, and SAH.
Sheehan syndrome must be differentiated from lymphocytic hypophysitis, pituitary apoplexy and SAH.<ref name="pmid8325288">{{cite journal |vauthors=Rolih CA, Ober KP |title=Pituitary apoplexy |journal=Endocrinol. Metab. Clin. North Am. |volume=22 |issue=2 |pages=291–302 |year=1993 |pmid=8325288 |doi= |url=}}</ref><ref name="pmid1520058">{{cite journal |vauthors=Vidal E, Cevallos R, Vidal J, Ravon R, Moreau JJ, Rogues AM, Loustaud V, Liozon F |title=Twelve cases of pituitary apoplexy |journal=Arch. Intern. Med. |volume=152 |issue=9 |pages=1893–9 |year=1992 |pmid=1520058 |doi= |url=}}</ref><ref name="pmid8183446">{{cite journal |vauthors=Lazaro CM, Guo WY, Sami M, Hindmarsh T, Ericson K, Hulting AL, Wersäll J |title=Haemorrhagic pituitary tumours |journal=Neuroradiology |volume=36 |issue=2 |pages=111–4 |year=1994 |pmid=8183446 |doi= |url=}}</ref>


==Differentiating Sheehan's Syndrome from other Diseases==
==Differentiating Sheehan's Syndrome from other Diseases==
 
{| class="wikitable"
 
!Diseases
!Course
!History and Symptoms
!Physical Examination
!Laboratory Findings
!Other Findings
|-
|Sheehan's syndrome
| rowspan="4" |Acute
|
|
|
|
|-
|[[Pituitary apoplexy]]
|
|
|
|
|-
|[[Lymphocytic hypophysitis]]
|
|
|
|
|-
|[[Subarachnoid hemorrhage]]
|
|
|
|
|-
|[[Empty sella syndrome]]
| rowspan="4" |Chronic
|
|
|
|
|-
|Primary hypothyroidism
|
|
|
|
|-
|Hypogonadotropic hypogonadism
|
|
|
|
|-
|Hypoprolactinemia
|
|
|
|
|}


===Differentiating Sheehan's syndrome on the basis of ===
===Differentiating Sheehan's syndrome on the basis of ===
Line 15: Line 71:
! rowspan="2" |Diseases
! rowspan="2" |Diseases
! rowspan="2" |Course
! rowspan="2" |Course
!History and Symptoms
! rowspan="2" |History and Symptoms
!Physical Examination
! rowspan="2" |Physical Examination
!Laboratory Findings
! rowspan="2" |Laboratory Findings
! rowspan="2" |Other Findings
! rowspan="2" |Other Findings
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"

Revision as of 14:44, 18 August 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Sheehan syndrome must be differentiated from lymphocytic hypophysitis, pituitary apoplexy and SAH.[1][2][3]

Differentiating Sheehan's Syndrome from other Diseases

Diseases Course History and Symptoms Physical Examination Laboratory Findings Other Findings
Sheehan's syndrome Acute
Pituitary apoplexy
Lymphocytic hypophysitis
Subarachnoid hemorrhage
Empty sella syndrome Chronic
Primary hypothyroidism
Hypogonadotropic hypogonadism
Hypoprolactinemia

Differentiating Sheehan's syndrome on the basis of

Diseases Course History and Symptoms Physical Examination Laboratory Findings Other Findings
Physical Finding 1
Sheehan's Syndrome Acute +
Pituitary apoplexy
Lymphocytic hypophysitis
SAH
Empty sella syndrome Chronic
Primary Hypothyroidism
Hypogonadotropic Hypogonadism
Hypoprolactinemia

Use if the above table can not be made
Differential Diagnosis Similar Features Differentiating Features
Differential 1
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 2
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 3
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 4
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 5
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].

References

  1. ↑ Rolih CA, Ober KP (1993). "Pituitary apoplexy". Endocrinol. Metab. Clin. North Am. 22 (2): 291–302. PMID 8325288.
  2. ↑ Vidal E, Cevallos R, Vidal J, Ravon R, Moreau JJ, Rogues AM, Loustaud V, Liozon F (1992). "Twelve cases of pituitary apoplexy". Arch. Intern. Med. 152 (9): 1893–9. PMID 1520058.
  3. ↑ Lazaro CM, Guo WY, Sami M, Hindmarsh T, Ericson K, Hulting AL, Wersäll J (1994). "Haemorrhagic pituitary tumours". Neuroradiology. 36 (2): 111–4. PMID 8183446.

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