Overview
What is the difference between adrenal crisis and Addison disease?
Which hormones are involved in the pathophysiology of adrenal crisis?
What is the pathophysiology of adrenocortical insufficiency in adrenal crisis?
What is the incidence of adrenal crisis?
What is the mortality of adrenal crisis?
Presentation
What patient history is associated with adrenal crisis?
What is the presentation of adrenal crisis?
DDX
What are the differential diagnoses for Adrenal Crisis?
Workup
Which lab studies are indicated in the workup of adrenal crisis?
Which imaging studies are indicated in the workup of adrenal crisis?
Which other tests are indicated in the workup of adrenal crisis?
What are the histologic findings in adrenal crisis?
Treatment
What is the medical treatment for adrenal crisis?
Which specialist consultations are indicated in the treatment of adrenal crisis?
Guidelines
What are the BSE guidelines on the diagnostic workup of adrenal crisis?
Medications
Which medications are used to treat adrenal crisis?
Which medications in the drug class Vasopressors are used in the treatment of Adrenal Crisis?
Which medications in the drug class Corticosteroids are used in the treatment of Adrenal Crisis?
Follow-up
What is the long-term care for patients with adrenal crisis?
What is the inpatient care for patients with adrenal crisis?
Which medications are indicated in the treatment of adrenal crisis?
What complications are associated with adrenal crisis?
What is the prognosis of adrenal crisis?
What is the patient education for adrenal crisis?
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Computed tomographic (CT) scans of the abdomen show normal adrenal glands several months before the onset of hemorrhage (upper panel) and enlarged adrenals 2 weeks after an acute episode of bilateral adrenal hemorrhage (lower panel). The attenuation of the adrenal glands, indicated by arrows, is increased after the acute event. Reproduced from Rao RH, Vagnucci AH, Amico JA: Bilateral massive adrenal hemorrhage: early recognition and treatment. Ann Intern Med. Feb 1 1989;110(3):227-35 with permission from the journal.
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Enlarged, dense, suprarenal masses