Sheehan's syndrome differential diagnosis: Difference between revisions

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==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 71: Line 15:
! rowspan="2" |Diseases
! rowspan="2" |Diseases
! rowspan="2" |Course
! rowspan="2" |Course
! rowspan="2" |History and Symptoms
!History and Symptoms
! rowspan="2" |Physical Examination
!Physical Examination
! rowspan="2" |Laboratory Findings
!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;"
Line 82: Line 26:
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sheehan's Syndrome
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sheehan's Syndrome
| rowspan="4" |Acute
| rowspan="4" |Acute
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| rowspan="8" style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |
| rowspan="8" style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pituitary apoplexy]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pituitary apoplexy]]
|
|
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Lymphocytic hypophysitis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Lymphocytic hypophysitis]]
|
|
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
|SAH
|SAH
|
|
|
|
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Empty sella syndrome]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Empty sella syndrome]]
| rowspan="4" |Chronic
| rowspan="4" |Chronic
|
|
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Primary Hypothyroidism
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Primary Hypothyroidism
|
|
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
|Hypogonadotropic Hypogonadism
|Hypogonadotropic Hypogonadism
|
|
|
|
|-
|-
|Hypoprolactinemia
|Hypoprolactinemia
|
|
|
|
|}
|}

Revision as of 14:26, 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[1][2][3], and SAH.

Differentiating Sheehan's Syndrome from other Diseases

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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