A 32-year-old woman undergoes a cesarean section because of failure of labor to progress, and delivers a healthy baby boy. The procedure is complicate

Subject
Obstetrics and Gynaecology
System
Endocrine, Diabetes & Metabolism, Pregnancy, Childbirth & Puerperium

Kathryn

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Jul 29, 2020
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A 32-year-old woman undergoes a cesarean section because of failure of labor to progress, and delivers a healthy baby boy. The procedure is complicated by significant intraoperative blood loss and hypotension, but the patient is successfully resuscitated. Postoperatively she experiences dull, aching, non-localized abdominal pain and nausea, but denies headache, visual changes, or abnormal edema. On postoperative day three she is passing flatus and remains afebrile, but becomes hypotensive to 90–100 mm Hg systolic and 40–50 mm Hg diastolic. She has not begun lactating despite her attempts to breast-feed her infant. Laboratory values indicate that she is hyponatremic and mildly hyperkalemic. Urinalysis and liver enzymes are normal. Which of the following is the most likely cause of her symptoms?
(A) Appendicitis
(B) HELLP syndrome
(C) Postoperative infection
(D) Sheehan’s syndrome
(E) Toxic shock syndrome
 
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