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An Evidence-Based Assessment Of Pediatric Endocrine Emergencies

April 2011

Abstract

Most emergency clinicians are quite comfortable treating diabetic ketoacidosis (DKA) in children, but other rarer endocrine disorders in this population are likely to cause anxiety in even the most well-read emergency clinician. In addition to their complex pathophysiologies, these disorders present with an array of nonspecific complaints — the most ominous of which is an altered mental status. This issue of Pediatric Emergency Medicine Practice reviews the diagnosis and management of these uncommon disorders, which, if left untreated, can cause significant morbidity.

Keywords: adrenal insufficiency, congenital adrenal hyperplasia,21-hydroxylase deficiency, and stress-dose corticosteroids

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