Sheehan's syndrome diagnostic criteria: Difference between revisions

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Revision as of 15:58, 22 August 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Iqra Qamar M.D.[2]

Diagnosis is made on clinical basis with a recent/remote history of traumatic delivery or delivery complicated by hypotension.

Diagnosis is made on clinical basis with a recent/remote history of traumatic delivery or delivery complicated by hypotension.
Diagnosis is mostly clinical but following steps are required to make the established diagnosis.
- Detailed medical history
- Measurement of pituitary hormone levels in blood
- Pituitary hormone stimulation tests(insulin tolerance, chlorpromazine, metoclopramide and clomiphene citrate stimulation tests)^[1]^[2]
- Imaging(MRI preferred on CT)

↑ Cunningham SK, Moore A, McKenna TJ (1983). "Normal cortisol response to corticotropin in patients with secondary adrenal failure". Arch. Intern. Med. 143 (12): 2276–9. PMID 6316866.
↑ Grinspoon SK, Biller BM (1994). "Clinical review 62: Laboratory assessment of adrenal insufficiency". J. Clin. Endocrinol. Metab. 79 (4): 923–31. doi:10.1210/jcem.79.4.7962298. PMID 7962298.

@@ Line 4: / Line 4: @@
 {{CMG}}; {{IQ}}
 ==Overview==
-*Diagnosis is mostly clinical but following steps are required to make the established diagnosis.
+*Diagnosis is made on clinical basis with a recent/remote history of traumatic delivery or delivery complicated by hypotension.
-**Detailed medical history
-**Measurement of pituitary hormone levels in blood
-**Pituitary hormone stimulation tests(insulin tolerance, chlorpromazine, metoclopramide and clomiphene citrate stimulation tests)<ref name="pmid6316866">{{cite journal |vauthors=Cunningham SK, Moore A, McKenna TJ |title=Normal cortisol response to corticotropin in patients with secondary adrenal failure |journal=Arch. Intern. Med. |volume=143 |issue=12 |pages=2276–9 |year=1983 |pmid=6316866 |doi= |url=}}</ref><ref name="pmid7962298">{{cite journal |vauthors=Grinspoon SK, Biller BM |title=Clinical review 62: Laboratory assessment of adrenal insufficiency |journal=J. Clin. Endocrinol. Metab. |volume=79 |issue=4 |pages=923–31 |year=1994 |pmid=7962298 |doi=10.1210/jcem.79.4.7962298 |url=}}</ref>
-**Imaging(MRI preferred on CT)
 ==Diagnostic Criteria==