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Diabetes Insipidus Following Post-Partum Shock

Arch Intern Med. 1966;118(1):9-13. doi:10.1001/archinte.1966.00290130011003.
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Diabetes INSIPIDUS has been described as a very rare accompaniment of Sheehan's syndrome.1-7 We recently encountered a patient in whom transient diabetes insipidus was recognized relatively early in the puerperium.

Report of a Case  A 30-year-old housewife, gravida 2, para 1, entered the Symmes Hospital on June 19, 1964, for routine induction. She had only one hour of labor and was delivered of a full-term, normal infant. Massive hemorrhage followed, and hypofibrinogenemia was demonstrated (blood fibrinogen level, 52 mg/100 cc normal, 250-400 mg/100 cc. Over the next several hours she received 4 units of blood and 6 units of fibrinogen. She was in profound shock for a period of 4½ hours manifested by pallor, marked diaphoresis, therapy to absent peripheral pulses, and a systolic blood pressure of 0 to 80 mm Hg. Urine output was between 200 and 400 ml/24 hr during the first three hospital days, increased to


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