<prompt> A female undergoes an uneventful full term normal vaginal delivery. After few hours, she staed complaining of severe headache visual changes. She is found unresponsive after 4 hours. She is intubated OE her BP- 6430 mmHg, HR- 160min. Lab studies show RBS- 45 mgdl, with normal haemoglobin, WBC platelets. Which of the following you will use to manage this patient?Activated drotrecogin alfaHydrocoisonePiperacillintazobactamTransfusion of packed red blood cells  <response>: The give scenario suggests diagnosis of Sheehan syndrome. Pituitary haemorrhageinfarction- bilateral visual changes, headache, meningeal signs ophthalmoplegia. In severe cases, cardiovascular collapse and altered levels of consciousness. Pan hypopituitarism is seen. Hypotension hypoglycemia- due to decreased ACTH Most immediate concern is replacement of glucocoicoid- Hydrocoisone is given Activated drotrecogin alfa Piperacillintazobactam- not indicated as there is no evidence of sepsis Transfusion of packed red blood cells- not useful as haematocrit is normal 