title: Ob-Gyn interactive case challenge--a case of sadness and anxiety 9 months postpartum.
abstract: If you were the primary care provider, how would you diagnose and treat postpartum anxiety and depression in this young, first-time mother? After a normal, uncomplicated pregnancy, this 27-year-old woman developed anxiety and depressed mood, which she was still struggling to control 9 months after the birth of her child. Among the diagnostic possibilities to consider are occult malignancy, diabetes mellitus, and thyroid disorder, as well as major depression/anxiety disorder and postpartum depression.
authors.affiliation: Massachusetts General Hospital, Boston, Mass, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Gangi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis; D007037:Hypothyroidism / Q000175:diagnosis* / Q000188:drug therapy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000188:drug therapy; D013963:Thyroid Hormones / Q000097:blood; D013966:Thyroiditis / Q000175:diagnosis* / Q000188:drug therapy; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D013963:Thyroid Hormones; D013974:Thyroxine