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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

[Clinical thinking and decision making in practice. A patient with postpartum malaise, anorexia, and ventricular

P W Kamphuisen1, M Levi, H A Kaasjager

  • 1Ziekenhuis Rijnstate, afd. Inwendige Geneeskunde, Postbus 9555, 6800 TA Arnhem. pkamphuisen@rijnstate.nl

Nederlands Tijdschrift Voor Geneeskunde
|January 5, 2002
PubMed

A 34-year-old woman was hospitalised with hypotension, lethargy and ventricular tachycardia, five months after an uneventful pregnancy and delivery. Laboratory values were compatible with anterior (abnormal concentrations of adrenocorticotropin hormone, thyroid stimulating hormone, prolactin) and posterior (diabetes insipidus) pituitary gland insufficiency. An MRI scan revealed that there was no pituitary enlargement and that the pituitary stalk was normal. The prompt recognition of hypophysitis as a potentially fatal condition is important, as a life-saving treatment is available.

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