NOTES (ELECTROLYTES, HORMONES)

Parathyroid Hormone (PTH) vs. Calcitonin Source - Endocrine gland responsible for the synthesis and secretion of Parathyroid Hormone (PTH)

Parathyroid Hormone (PTH) vs. Calcitonin Source - Specific cell type within the thyroid gland that synthesizes and secretes Calcitonin

Parathyroid Hormone (PTH) vs. Calcitonin Bone Effect - Complete structural process or action exerted by Parathyroid Hormone (PTH) on bone tissues

Parathyroid Hormone (PTH) vs. Calcitonin Bone Effect - Principal defensive action exerted by Calcitonin to preserve bone integrity and decrease resorption

Parathyroid Hormone (PTH) vs. Calcitonin Calcium Regulation - Total directional impact of Parathyroid Hormone (PTH) on serum calcium and magnesium concentrations

Parathyroid Hormone (PTH) vs. Calcitonin Calcium Regulation - Total directional impact of Calcitonin on serum calcium and magnesium concentrations

Parathyroid Hormone (PTH) vs. Calcitonin Phosphate Regulation - Directional impact of Parathyroid Hormone (PTH) on blood phosphate levels via renal excretion pathways

Parathyroid Hormone (PTH) vs. Calcitonin Phosphate Regulation - Directional impact of Calcitonin on blood phosphate levels

Parathyroid Gland Pathology - Immediate fatal neuromuscular consequence of untreated parathyroid gland absence caused by catastrophic hypocalcemia

Hormone Receptor Binding - Cellular location where fat-based steroid and thyroid hormones bind due to their lipophilic nature

Hormone Receptor Binding - Cellular location where water-loving peptide hormones must bind because they cannot cross the lipid bilayer

Pituitary Anatomy (Anterior) - Alternative medical designation given to the anterior pituitary gland due to its capacity to synthesize its own hormones

Pituitary Anatomy (Anterior Status) - Structural descriptive phrase given to the anterior pituitary gland because it builds and secretes its own products

Pituitary Anatomy (Posterior) - Alternative medical designation given to the posterior pituitary gland because it acts strictly as a storage site

Pituitary Anatomy (Posterior Status) - Structural descriptive phrase given to the posterior pituitary gland because it cannot synthesize hormones on its own

Pituitary Anatomy (Posterior Products) - Enumeration of the two specific hypothalamic hormones stored and released by the neurohypophysis

Feedback Mechanisms (Menstrual Cycle) - Regulatory feedback mechanism type activated explicitly before ovulation to trigger the LH surge

Feedback Mechanisms (Menstrual Cycle Surge) - Specific pituitary gonadotropin hormone that spikes dramatically as a direct result of positive estrogen feedback before ovulation

Adrenal Feedback Loop (Hypothalamus) - Specific neurohormone released by the hypothalamus under high-stress conditions to initiate the adrenal cascade

Adrenal Feedback Loop (Pituitary) - Specific tropic hormone released by the anterior pituitary gland when stimulated by CRH

Adrenal Feedback Loop (Target) - Principal glucocorticoid hormone synthesized and released by the adrenal cortex under stress conditions

Endocrine Pathology (Primary Cushing's) - Upstream directional status of CRH and ACTH when the target adrenal gland is overproducing cortisol on its own

Endocrine Pathology (Secondary Cushing's) - Downstream hormone target product and upstream regulatory neurohormone status when an anterior pituitary tumor overproduces ACTH

Endocrine Pathology (Tertiary Cushing's) - Hypothalamic hormone status that drives the subsequent overproduction of both ACTH and Cortisol

Thyroid Feedback Loop (Normal) - Sequential hormone cascade path triggered by the physiological release of Hypothalamic TRH

Thyroid Feedback Loop (Tertiary Hypothyroidism) - Directional profile status of TRH, TSH, and T4 during hypothalamic failure

Thyroid Feedback Loop (Primary Hypothyroidism) - Upstream directional status of regulatory TRH and TSH when the thyroid gland itself fails to produce thyroid hormone

Growth Hormone Mediators - Specific hepatic hormone product stimulated by Growth Hormone that serves as the historic sulfation factor

Growth Hormone Mediators - Historical synonym or alternative factor name assigned directly to Insulin-like Growth Factor 1 (IGF-1)

Growth Hormone Stimulus - Specific structural stage of sleep that serves as the primary physical trigger for peak growth hormone release

Growth Hormone Inhibitor - Primary regulatory peptide hormone responsible for the direct inhibition of growth hormone synthesis

Growth Hormone Inhibitor Sources - Enumeration of the three primary organic anatomical regions or tissues that produce somatostatin

Growth Hormone Inhibitor Cells - Specific endocrine cell type located within the pancreas that synthesizes somatostatin

Growth Hormone Diurnal Rhythm - Specific broad timeframe of day when growth hormone concentrations predictably exhibit their peak spikes

Renal Reabsorption (Osmotic PCT) - Anatomical portion of the nephron and specific pathway type responsible for the major passive osmotic reabsorption of fluid

Renal Reabsorption (Osmotic Loop) - Specific energy-dependent co-transporter pump utilized in the loop of Henle for active solute transport

Renal Reabsorption (Osmotic Loop Components) - Enumeration of the three distinct ionic components shifted across membranes by the active NKCC2 pump

Water Reabsorption Regulation - Late nephron tubule structures and driving hormone abbreviation responsible for the tight regulation of water reabsorption

Antidiuretic Hormone Source - Exact paired nuclear structures within the hypothalamus where ADH is originally built before transport

Vascular Dynamics (Vasodilation) - Complete physiological pressure sequence caused by an increase in vessel diameter: Decreased TPR = __________

Vascular Pathology (Eclampsia) - Clinical pregnancy condition defined by a combination of dangerously high blood pressure and seizures

Vascular Pathology (Eclampsia Treatment) - Specific chemical compound administered clinically to patients for seizure prophylaxis and neuroprotection during eclampsia

Biochemical Composition - Specific chemical element found structurally within proteins containing cysteine and methionine amino acids

Osmolar Gaps Units - Standard volumetric measurement units used to express calculated anion gaps or osmolar gaps in clinical chemistry

Molarity Definition - Fundamental chemical expression defined as the number of moles of solute per liter of total solution

Osmolar Gap Toxins - Complete enumeration of the "7 Toxins" or conditions that directly cause an elevated osmolar gap in a patient

Ethylene Glycol Metabolism - Specific crystalline structures formed in the urinary tract following the ingestion and metabolism of ethylene glycol

Salicylic Acid Overdose - Common over-the-counter pharmacological medication name associated with toxic salicylic acid ingestions

Diabetes Mellitus Glucosuria - Physiological mechanism term describing the spilling of glucose into the urine once the kidney's maximum reabsorption threshold is exceeded

Diabetes Mellitus Symptoms - Clinical presentation term used to describe the profound, unquenchable thirst driven by osmotic diuretic water loss

Diabetes Mellitus Fluid Status - Resulting concentration state of serum sodium and overall plasma osmolality during a severe acute glucose spike

Diabetes Mellitus Urine Status - Resulting osmolality state of urine that is completely saturated with dumped glucose molecules

Hormone Characteristics (Steroid Synthesis) - Cellular organelle where fat-based steroid hormones are synthesized

Hormone Characteristics (Peptide Nature) - Physical property regarding water affinity that always characterizes peptide hormones

Hormone Characteristics (Peptide Receptor Location) - Exact structural cellular location where peptide hormone receptors are embedded

Hormone Characteristics (Membrane Permeability) - Hormone classification that can pass directly through the cell membrane with no assistance needed

Hormone Characteristics (Peptide Receptor Necessity) - Hormone classification that strictly requires cell surface receptors because they cannot easily pass through the membrane

Hormone Characteristics (Steroid Action Rate) - General speed and permanency characterization assigned to steroid hormone actions

Hormone Characteristics (Peptide Action Rate) - General speed and permanency characterization assigned to peptide hormone actions

Pituitary Hormones (Gamete Source) - Specific structures or cells from which mature sperm and egg arise

Pituitary Hormones (Immature Gamete Form) - Structural term used to describe the immature form of sperm and egg

Growth Hormone (Abundance) - Specific endocrine location where growth hormone is characterized as the most abundant hormone

Growth Hormone (Main Stimulus) - Specific stage or depth of sleep that serves as the main stimulus for growth hormone release

Growth Hormone (Major Inhibitor) - Specific hormone identified as the major inhibitor of growth hormone

Somatostatin Sources (Pancreatic Cells) - Specific endocrine cell type within the pancreas that produces somatostatin

Somatostatin Sources (Anatomical Locations) - Enumeration of the three primary anatomical organs or regions that produce somatostatin

Growth Hormone (Diurnal Variation) - Specific time range of day where growth hormone shows peak diurnal variation

Prolactin Clinical (Mammogram Finding) - Imaging artifact or physical state associated clinically with increased prolactin levels

Prolactin Regulation (Physical Stimulus) - Specific mechanical or localized tactile stimulus that increases prolactin

Prolactin Regulation (Dietary Stimulus) - Enumeration of the three specific foods listed that increase prolactin levels

Prolactin Inhibition (Dopamine Origin) - Two specific anatomical structures or glands that produce dopamine to regulate prolactin

Prolactin Pathology (Increased States) - Enumeration of the five reproductive or menstrual clinical cases where prolactin is increased

Prolactin Pathology (Amenorrhea Definition) - Definition of amenorrhea as seen in cases of increased prolactin

Prolactin Pathology (Metorrhaghea Definition) - Definition of metorrhaghea as seen in cases of increased prolactin

Posterior Pituitary (Oxytocin Origin) - Specific brain structure where oxytocin is originally produced before storage

Posterior Pituitary (Oxytocin Release) - Endocrine gland responsible for releasing and storing oxytocin

Oxytocin Function (Lactation) - Specific physiological breast reflex function mediated by oxytocin

Oxytocin Function (Childbirth) - Specific structural muscle action mediated by oxytocin during childbirth to ease birthing

Oxytocin Function (Maternal Bonding) - Specific interpersonal effect increased by oxytocin between mother and child

Oxytocin Function (Marital Bonding) - Specific relationship effect increased by oxytocin within a partnership

Oxytocin Regulation (Physical Stimuli) - Enumeration of the two primary physical manipulation or tactile stimuli for oxytocin explicitly listed under its stimuli notes

Oxytocin Alias (Common Name) - Popular alternative designation given to oxytocin due to its behavioral roles

Pineal Gland (Melatonin Stimulus) - Primary environmental condition or stimulus required for melatonin production

Pineal Gland (Size Trait) - Defining physical dimension characteristic of the pineal gland among endocrine organs

Anterior Pituitary (MSH Stimulus) - Primary environmental condition or stimulus required for melanocyte stimulating hormone (MSH)

Anterior Pituitary (MSH Origin) - Endocrine gland responsible for the production of Melanocyte Stimulating Hormone (MSH)

Tropic Hormones (Anterior Pituitary) - Enumeration of the four major tropic hormones produced by the Anterior Pituitary Gland

Tropic Target (ACTH) - Specific target organ and structural layer stimulated by Adrenocorticotropic Hormone (ACTH)

Tropic Target (TSH) - Specific target gland stimulated by Thyroid Stimulating Hormone (TSH)

Tropic Targets (FSH and LH) - Two specific reproductive organs or gonads targeted by FSH and LH

Tropic Products (Ovarian/Testicular) - Enumeration of the three end-product steroid hormones produced by the ovaries and testes

Tropic Products (Adrenal Cortex) - Specific primary end-product hormone produced by the adrenal cortex under tropic stimulation

Tropic Products (Thyroid Gland) - Enumeration of the two active iodinated end-product hormones produced by the thyroid gland

Non-Tropic Products (Anterior Pituitary) - Enumeration of the three non-tropic hormone products of the Anterior Pituitary Gland that act directly on tissue targets

Non-Tropic Target (Prolactin) - Specific target tissue and end product listed for Prolactin (PRL) action

Parathyroid Pathology (Hypoparathyroidism Electrolytes) - Complete the blank for hypoparathyroidism electrolyte shifts: Ca __________, PO_4 __________

Parathyroid Pathology (Hyperparathyroidism 1^\circ Levels) - Directional status of PTH, Ca, Mg, and \text{PO}_4 in Primary (1^\circ) Hyperparathyroidism

Grave's Disease (Clinical Features) - Enumeration of the four major clinical characteristics or physical signs of Grave's Disease

Grave's Disease (Exophthalmos Definition) - Physical description of the ocular manifestation known as exophthalmos

Hashimoto's Disease (Clinical Features) - Enumeration of the three major clinical characteristics or physical signs of Hashimoto's Disease

Adrenal Hormones (Aldosterone Nephron Target) - Specific structural parts of the nephron where aldosterone effects sodium reabsorption

Adrenal Hormones (Cortisol Excretion Sites) - Specific structural locations within the renal tubules where calcium excretion occurs associated with cortisol notes

Adrenal Medulla (Hormone Group) - Specific classification of hormones produced by the inner portion/adrenal medulla

Adrenal Medulla (Anatomical Layer) - Specific relative layer position of the adrenal medulla within the adrenal gland

Adrenal Cortex (Anatomical Layer) - Specific relative layer position of the adrenal cortex within the adrenal gland

Zona Glomerulosa (Layer Position) - Specific relative histological position code assigned to the Zona glomerulosa

Zona Glomerulosa (Hormone Class) - Class of corticosteroid molecules produced by the Zona glomerulosa and its primary regulation role

Zona Glomerulosa (Major Hormone) - Specific principal mineralocorticoid hormone synthesized in the Zona glomerulosa

Zona Fasciculata (Layer Position) - Specific relative histological position code assigned to the Zona fasciculata

Zona Fasciculata (Hormone Class) - Class of corticosteroid molecules produced by the Zona fasciculata and its primary regulation role

Zona Fasciculata (Major Hormone) - Specific principal glucocorticoid hormone synthesized in the Zona fasciculata

Zona Reticularis (Layer Position) - Specific relative histological position code and proximity note assigned to the Zona reticularis

Zona Reticularis (Hormone Class) - Class of steroid molecules produced by the Zona reticularis and its primary developmental role

Zona Reticularis (Major Hormone) - Specific principal androgen hormone synthesized within the adrenal cortex

Reproductive Hormones (Menarche) - Definition of the reproductive milestone term menarche

Reproductive Hormones (Ovarian Steroids) - Enumeration of the two primary steroid hormones produced by the ovaries

Reproductive Hormones (Beta-HCG Target) - Specific temporary placental structure stimulated by Beta-HCG to produce progesterone

Reproductive Hormones (HPL Pathology) - Specific clinical metabolic condition linked to increased levels of Human Placenta Lactogen (HPL)

Reproductive Hormones (HPL Function) - Specific physiological function influenced by Human Placenta Lactogen (HPL) besides glucose regulation

Euthyroidism (Biochemical Definition) - Complete laboratory criteria profile that defines biochemical euthyroidism

Euthyroidism (Clinical Definition) - Definition of a patient presenting with clinical euthyroidism

Euthyroidism (Clinical Physical vs Lab) - Discrepancy observed between physical examination and biochemical profiles in clinical euthyroidism

Thyroid Pathology (ESS Full Name) - Complete medical phrase represented by the acronym ESS

Thyroid Pathology (ESS Lab Characteristics) - True thyroid functional status and hormone level behavior that defines Euthyroid Sick Syndrome

Thyroid Pathology (ESS Etiologies) - Enumeration of the two primary non-thyroidal systemic physical insults that cause ESS

Thyroid Pathology (ESS Hormones) - Specific status of T3 and T4 levels observed in individuals presenting with Euthyroid Sick Syndrome

Pituitary Pathology (Sheehan's Cause) - Specific abnormal obstetric placental implantation state listed as a common cause of Sheehan's syndrome

Pituitary Pathology (Placenta Previa Definition) - Definition of placenta previa provided in the clinical notes

Pituitary Pathology (Sheehan's Pituitary Effects) - Two specific destructive structural changes that happen to the pituitary gland during Sheehan's syndrome

Pituitary Pathology (Sheehan's Hemorrhagic Sequence) - Structural degradation pathway sequence triggered by excessive blood loss/hemorrhage

Adrenal Pathology (Cushing's Lipid Deposition) - Enumeration of the three specific anatomical locations where TAGs are deposited in Cushing's Disease

Adrenal Pathology (Cushing's Deposition Signs) - Enumeration of the three hallmark physical presentation names resulting from local TAG deposition

Phenotypic Alterations (Klinefelter's Phrase) - Descriptive shortcut phrase used to characterize a Klinefelter's Syndrome patient's appearance

Phenotypic Alterations (CAH Phrase) - Descriptive shortcut phrase used to characterize a Congenital Adrenal Hyperplasia patient's appearance

Adrenal Pathology (CAH Full Name) - Complete medical phrase represented by the acronym CAH

Adrenal Pathology (CAH Hormone Profile) - Complete triad hormone profile that defines Congenital Adrenal Hyperplasia

Adrenal Pathology (CAH Enzyme Defect) - Primary classification of enzyme deficiency that causes Congenital Adrenal Hyperplasia

Adrenal Pathology (Pheochromocytoma Definition) - Definitive classification of the tumor localized to the adrenal medulla

Adrenal Pathology (Carcinoid Markers) - Enumeration of the two primary diagnostic chemical or neurotransmitter markers associated with Carcinoid Tumors

Adrenal Pathology (Carcinoid Tumor Synonyms) - Enumeration of the two alternative histological names used for Carcinoid Tumors

Adrenal Pathology (Carcinoid Diet Interference) - Enumeration of the three specific fruits that cause a false increase in carcinoid tumor markers

HCG Detection Timeline - Exact timeframe during gestation when Human Chorionic Gonadotropin (HCG) first becomes detectable in laboratory assays

HCG Peak Interval - Chronological milestone interval when circulating maternal HCG concentrations reach their absolute peak levels

HCG Concentration Decline - Specific gestational week range when maternal HCG levels begin a predictable, steady physiologic fall

Reproductive Hormones (Testes) - Primary physical or developmental roles explicitly listed for testosterone and male reproductive hormones

Estrogen Variants (E_1) - Common medical name identifying the specific estrogen variant designated shortform as E_1

Estrogen Variants (E_1 Status) - Specific clinical patient population characterized by a distinct physiologic increase in circulating Estrone (E_1)

Estrogen Variants (E_2) - Common medical name identifying the specific estrogen variant designated shortform as E_2

Estrogen Variants (E_2 Status) - Specific clinical patient population characterized by a distinct physiologic increase in circulating Estridial (E_2)

Estrogen Variants (E_3) - Common medical name identifying the specific estrogen variant designated shortform as E_3

Estrogen Variants (E_3 Status) - Specific clinical state and structural source associated with highly elevated Estriol (E_3) production

Hypothalamic Regulators (Inhibitory) - Specific neurohormone secreted by the hypothalamus that serves primarily to turn down or prevent hormone release

Hypothalamic Regulators (Alternative Alias) - Common alternative biochemical naming designation assigned to Prolactin-inhibiting hormone

Hypothalamic Regulators (Stimulatory) - Enumeration of the two primary stimulatory hypothalamic factors that drive downstream pituitary secretion lines

Hypothalamic Regulators (PIF Name) - Complete medical phrase represented by the physiological acronym PIF within hypothalamic control pathways

Thyroid Carrier Proteins (TBG Core) - Complete medical name for the principal carrier protein that binds approximately 70-75% of total circulating T_4 and T_3

Thyroid Carrier Proteins (TBG Former Name) - Historical laboratory name previously used to identify Thyroxine-binding globulin (TBG)

Thyroid Carrier Proteins (TBG Shorthand) - Specific four-letter acronym listed directly on the notes text for thyroxine-binding prealbumin

Thyroid Carrier Proteins (TTR Alternative) - Alternative carrier protein written as an acronym abbreviation that specifically binds 10-15% of circulating T_4

Thyroid Carrier Proteins (TTR Selectivity) - Specific iodinated thyroid hormone molecule targeted with a significantly higher binding affinity by Transthyretin (TTR)

Thyroid Carrier Proteins (Albumin Abundance) - Specific feature characterization regarding abundance and affinity assigned to serum albumin within thyroid transport dynamics

Thyroid Carrier Proteins (Albumin Fraction) - Exact quantitative percentage range of circulating T_4 bound directly to serum albumin

Thyroid Carrier Proteins (Free T_4 Proportion) - Approximate physiological percentage value of circulating total thyroxine (T_4) that remains completely unbound or free

Thyroid Carrier Proteins (Free T_3 Proportion) - Approximate physiological percentage value of circulating total triiodothyronine (T_3) that remains completely unbound or free

Thyroid Function Panel Components - Enumeration of the four standard biochemical test measurements that comprise common thyroid panels

Thyroid Lab Profiling (Primary Hyperthyroidism) - Specific expected laboratory combination tracking of TSH, T_3/T_4, and diagnostic autoantibodies in Primary Hyperthyroidism

Thyroid Lab Profiling (Grave's Disease Signs) - The specific condition listed alongside primary hyperthyroidism that may uniquely present with positive TSI markers

Thyroid Lab Profiling (Primary Hypothyroidism) - Specific expected laboratory combination tracking of TSH, T_3/T_4, and diagnostic autoantibodies in Primary Hypothyroidism

Thyroid Lab Profiling (Hashimoto's Disease) - The specific underlying condition listed alongside primary hypothyroidism that presents with Anti-TPO and Anti-microsomal antibodies

Thyroid Lab Profiling (Secondary Hypothyroidism) - Specific expected laboratory combination tracking of TSH and T_3/T_4 when pituitary dysfunction drives thyroid failure

Thyroid Lab Profiling (Subacute Thyroiditis) - Specific laboratory trend and inflammation marker behavior that characterizes the early stages of subacute thyroiditis

Thyroid Lab Profiling (T3 Thyrotoxicosis) - Specialized thyroid clinical profile variant where total T_4 stays baseline normal while free T_3 spikes out of range

RAAS Actions (Arterioles) - Precise anatomical action or narrowing that occurs specifically at the afferent and efferent arteriole branches during RAAS activation

RAAS Actions (Sodium Reabsorption) - Exact early anatomical site within the nephron tubule structure where sodium reabsorption is directly stimulated by RAAS pathways

RAAS Actions (Adrenal Cortex Activation) - Specific structural layer section within the adrenal gland cortex targeted by systemic triggers to release aldosterone

RAAS Actions (Aldosterone Mechanism) - Dual ion transport consequence mediated by aldosterone within the distal tubule and collecting ducts: Causes sodium __________ and potassium __________

RAAS Actions (Antidiuretic Hormone) - Exact distal anatomical structures within the kidney tubules targeted by ADH to execute systemic water retention

Cushing's Disease vs Syndrome (Etiology) - Definitive causal mechanism location discrepancy that structurally differentiates Cushing's Disease from Cushing's Syndrome

Cushing's Disease Profile - Specific structural status tracking of Cortisol, Aldosterone, and ACTH levels inside a true Cushing's Disease patient

Cushing's Syndrome Profile - Specific structural status tracking of Cortisol, Aldosterone, and ACTH levels inside a primary Cushing's Syndrome patient

Glucocorticoid Rhythm - Standard diurnal timeframe pattern when circulating human cortisol levels reach their highest physiological spikes vs lowest drops

Glucocorticoid Pathology (Cushing's Rhythm) - Diagnostic behavior shift seen in cortisol rhythm cycles during clinical hypercortisolism tracking across afternoon/evening hours

Cortisol Functions - Triad profile of core systemic metabolic or physiological actions driven directly by active cortisol signaling

Cortisol Function (Inhibition) - The single primary hormone exception whose baseline systemic secretion remains completely uninhibited by active cortisol actions

Cortisol Screening Assays - Enumeration of the three primary first-line baseline screening laboratory tests utilized to confirm clinical hypercortisolism

Cortisol Confirmatory Testing - Enumeration of the three high-tier formal confirmatory laboratory diagnostic procedures performed to locate a cortisol defect source

Virilization Signs (Hirsutism) - Detailed clinical presentation definition used to identify the pathological state of hirsutism in females

Virilization Signs (Virilization) - Complete definition detailing the broader physical virilization phenotypic transition within affected female individuals

Hormonal Pathology (Luteal Phase Defect) - Destructive clinical outcome caused by inadequate luteal phase hormone support or premature corpus luteum decay

Hormonal Pathology (Precocious Puberty) - Precise developmental milestone timing change and downstream bone structural consequence defining precocious puberty

Turner Syndrome Genetics - Specific numeric and structural sex chromosome karyotype classification that causes Turner Syndrome in female patients

Turner Syndrome Clinical Triad - Enumeration of the three hallmark physical presentation features or signs that identify a Turner Syndrome patient upon examination

Sheehan's Syndrome Definition - Definitive underlying pathology description that causes postpartum panhypopituitarism following profound obstetric delivery complications

Sheehan's Syndrome Clinical Signs - Quadrad presentation profile of hallmark systemic dysfunctions or signs experienced by an affected mother following Sheehan's onset