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    Acute Adrenal Insufficiency / Crisis

    Adrenal Crisis

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    Assessment & Plan (short)

    # Acute Adrenal Insufficiency (Adrenal Crisis)
    Patient with*** history of adrenal insufficiency who presents with lethargy, fever, nausea, nonspecific abdominal pain, and hypotension concerning for adrenal crisis. Common etiologies include autoimmune, infectious, infarction, and medication inadherence.
    Dx
    - CBC, CMP, cortisol, ACTH, aldosterone, renin, TSH, lactate
    - CXR, BCx x2, UA, Utox
    - Evaluate fever, abdominal pain, hypotension per clinical scenario
    Tx
    - Hydrocortisone 100mg IV x1, then 50mg IV q6h (following lab draws)
    - Consider empiric antibiotics and fluids if concerned for sepsis

    Organ systems
    • Endocrine
    Medical field
    • Internal medicine
    Setting
    • Inpatient
    Author
    Eric Lee
    Page info

    Originally created: March 3, 2020 by Eric Lee

    [xyz-ips snippet="lastupdated"] [xyz-ips snippet="sectioneditor"] [post-views]

    Number of revisions: [xyz-ips snippet="numrevisions"]

    References
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