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Recognizing and Managing Adrenal Disorders in the Emergency Department

September 2017

Inside This Issue

Adrenal disorders can be life-threatening if they are unrecognized. In this issue, you will learn to:

  • Distinguish primary and secondary adrenal insufficiency from many similar presentations
  • Order laboratory tests in the ED that will assist emergent management
  • Look for the electrolyte disorder that is present in 90% of new diagnoses
  • Administer the optimal corticosteroid in the correct dose to quickly manage the cortisol deficit
  • Recognize and treat adrenal insufficiency in patients with critical illnesses

Keywords: adrenal insufficiency, crisis, disease, gland, primary adrenal insufficiency, PAI, secondary adrenal insufficiency, SAI, congenital adrenal hyperplasia, CAH, autoimmune, electrolyte, hyponatremia, hypoglycemia, steroid, corticosteroid, glucocorticoid, mineralocorticoid, hydrocortisone, fludrocortisone, prednisone, prednisolone, dexamethasone, stress dose, aldosterone, HPA, cortisol, ACTH, critical illness, CIRCI, sepsis, diabetic ketoacidosis, hypotension, hyperpigmentation, tan, genitalia, Tanner staging, gastrointestinal, pregnancy

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Last Modified: 09/23/2017
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