Recognizing and managing adrenal disorders in the emergency department [digest

Amy Cutright, Stephen Ducey, Claudia L Barthold, Jeremy Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Primary and secondary adrenal insufficiency are underrecognized conditions among emergency department patients, affecting an estimated 10% to 20% of critically ill patients. The signs and symptoms of cortisol deficit can be nonspecific and wide-ranging, and identification and swift treatment with stress-dosing of hydrocortisone is vital to avoid life-threatening adrenal crisis. Laboratory evaluation focuses on identification of electrolyte abnormalities typical of adrenal insufficiency, and while additional testing may depend on the type and severity of symptoms, it should not delay corticosteroid replacement. This issue provides recommendations on effective management of patients presenting with adrenal insufficiency, with particular attention to the management of critically ill and septic patients, pregnant patients, and children. [Points & Pearls is a digest of Emergency Medicine Practice.].

Original languageEnglish (US)
Pages (from-to)S1-S2
JournalEmergency medicine practice
Volume19
Issue numberPearls
StatePublished - Sep 22 2017

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Hospital Emergency Service
Adrenal Insufficiency
Critical Illness
Hydrocortisone
Addison Disease
Emergency Medicine
Electrolytes
Signs and Symptoms
Adrenal Cortex Hormones
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Recognizing and managing adrenal disorders in the emergency department [digest. / Cutright, Amy; Ducey, Stephen; Barthold, Claudia L; Kim, Jeremy.

In: Emergency medicine practice, Vol. 19, No. Pearls, 22.09.2017, p. S1-S2.

Research output: Contribution to journalArticle

Cutright, Amy ; Ducey, Stephen ; Barthold, Claudia L ; Kim, Jeremy. / Recognizing and managing adrenal disorders in the emergency department [digest. In: Emergency medicine practice. 2017 ; Vol. 19, No. Pearls. pp. S1-S2.
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