Registered Nurse

🚨Stop the wars Fu** oil, let the world live

There are no wise men or women in this world who can stop the death machine It might conflict with their interests

😀2025 Edition Book Collection from the American Save Life Organization

⭐️ Sheehan Syndrome 🤱🧠 A postpartum hypopituitarism caused by ischemic necrosis of the anterior pituitary following severe obstetric hemorrhage. ⭐ Classic Association = Postpartum hemorrhage + Failure to lactate 📌 Pathophysiology • Massive postpartum blood loss • Enlarged pituitary during pregnancy is vulnerable to ischemia • Anterior pituitary infarction • Multiple pituitary hormone deficiencies 📌 Classic Features • Failure to lactate (earliest sign) • Secondary amenorrhea • Loss of pubic/axillary hair • Fatigue and cold intolerance 📌 Hormones Decreased • ↓ Prolactin • ↓ FSH/LH • ↓ TSH • ↓ ACTH 📌 Investigations • Hyponatremia • Low pituitary hormones • MRI: Pituitary infarction or empty sella 📌 Management • Hydrocortisone FIRST ⚠️ • Levothyroxine replacement • Estrogen/progesterone replacement • Other hormone replacement as needed ⚡ Rapid Exam Clue Postpartum hemorrhage + inability to breastfeed = Sheehan Syndrome 🧠 Memory Trick “She can’t feed the baby after she bled.”

⭐️- Types of Heart Block -⁠ ⁠ 🫀Heart blocks occur when electrical signals from the atria to the ventricles are delayed or blocked⁠ ⁠ 🫀This leads to changes in the relationship between P waves and QRS complexes⁠