**Core Concept**
The patient's presentation is consistent with Sheehan's syndrome, a rare but serious complication of postpartum hemorrhage and abruptio placentae. This condition is characterized by necrosis of the pituitary gland due to severe blood loss, leading to hypopituitarism.
**Why the Correct Answer is Right**
The necrosis of the pituitary gland results in the destruction of the anterior pituitary gland, which is responsible for the production of various hormones, including growth hormone, prolactin, thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), follicle-stimulating hormone (FSH), and luteinizing hormone (LH). The destruction of these hormone-producing cells leads to a deficiency in their production, resulting in symptoms such as muscle weakness, failure of lactation, and amenorrhea.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it refers to a different condition, known as postpartum thyroiditis, which is characterized by inflammation of the thyroid gland and can lead to transient hypothyroidism or hyperthyroidism.
**Option B:** This option is incorrect because it refers to a condition known as postpartum depression, which is characterized by a mood disorder that can occur after childbirth, but is not related to the patient's symptoms.
**Option C:** This option is incorrect because it refers to a condition known as postpartum preeclampsia, which is characterized by high blood pressure and proteinuria after childbirth, but is not related to the patient's symptoms.
**Clinical Pearl / High-Yield Fact**
Sheehan's syndrome is a rare but serious complication of postpartum hemorrhage and abruptio placentae, and can be prevented by prompt and adequate treatment of postpartum hemorrhage.
**Correct Answer:** C. Necrosis of the pituitary gland.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.