Abstract

Case History A30-year-old woman comes to your office complaining of irritability, depressed mood, insomnia, fatigue, and occasional palpitations for the past 3 weeks. Her first child was born 3 months ago, at 39 weeks of gestation. Pregnancy and delivery were uneventful. He is a healthy baby who is exclusively breastfed. On physical examination, her heart rate is 92 bpm and blood pressure is normal. Thyroid examination shows a small soft gland that is nontender and without nodules. Past medical history is significant for allergic rhinosinusitis and a history of positive serum thyroid peroxidase antibody (TPOAb). Thyroid function before and during pregnancy was normal.