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Por supuesto:

Metabolism Diseases

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Pregunta:

Hypoadrenal crisis

Autor: Satvika Sinha



Respuesta:

Hypotension, Hypoglycaemia, Hyponatraemia, Hyperkalaemia, Sever dehydration, Death if untreated Treatment: Acute presentation is a medical emergency, long term treatment necessary, Hydrocortisone 20-30mg daily (ammunocortisol replacement), Fludrocortisone 50-300ug daily Confirmatory tests: • 0900 cortisol (peak cortisol) should be 300 • Short synacthen test • ACTH • Plasma renin • Adrenal antibodies


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Hypotension, Hypoglycaemia, Hyponatraemia, Hyperkalaemia, Sever dehydration, Death if untreated

Treatment: Acute presentation is a medical emergency, long term treatment necessary, Hydrocortisone 20-30mg daily (ammunocortisol replacement), Fludrocortisone 50-300ug daily

Confirmatory tests:
• 0900 cortisol (peak cortisol) should be 300
• Short synacthen test
• ACTH
• Plasma renin
• Adrenal antibodies
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