<prompt> Answer this question truthfullyWhat does the physical examination for Sheehans syndrome involve?  <response>: <reason> Hormonal deficiency Finding ACTH Acute Postural hypotension Tachycardia Chronic Anorexia Weight loss No hyperpigmentation TSH Slow movement and slow speech Delayed relaxation of tendon reflexes Bradycardia Carotenemia Coarse skin Puffy faces and loss of eyebrows Periorbital edema Enlargement of the tongue Diastolic hypertension Pleural and pericardial effusions Ascites Galactorrhea Gonadotropins Breast atrophy Regression of sexual characteristics Growth hormone Decreased sweating and impaired thermogenesis Reduced muscle mass and strength Fine facial wrinkles Increased central obesityPatients usually appear fatigued and lethargic and present with weight loss.Bradycardia Orthostatic hypotensionPallor Areolar Hypopigmentation Coarse and dry skin Hair lossFine wrinkling of face Loss of eyebrows laterallyBreast tissue atrophy involution Vaginal atrophyPatient is usually oriented to time, place and personPitting edema of the upperlower extremities myxedema Muscle wasting Delayed relaxation of deep tendon reflexes 