Sheehan's syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
Patients with Sheehan's syndrome usually appear fatigued, lethargic and weight gain. Physical examination is usually remarkable for bradycardia, hypotension, pallor and signs suggestive of respective hormonal deficiency.
Physical Examination
Appearance of the Patient
Vital Signs
Skin
- Pallor
- Areolar Hypopigmentation
- Coarse and dry skin
- Hair loss
HEENT
Genitourinary
Neuromuscular
- Patient is usually oriented to time, place and person
Extremities
- Pitting edema of the upper/lower extremities (myxedema)
- Muscle wasting
- Delayed relaxation of deep tendon reflexes