How to manage Addisonian crisis in emergency department sett
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The Journal of Clinical Endocrinology & Metabolism reported on a case where a 20-year-old man came into the emergency room with severe weakness and low blood pressure that had progressed over 3 months.He had visited his doctor 2 months before with symptoms of fever, lack of energy, tiredness, and dizziness. His doctor diagnosed him with a viral infection and symptoms went away after spending several days in the hospital, being treated with saline solution.Upon going to the emergency room for the crisis, he reported no previous health issues but had lost over 15 pounds in the 3 months since he started experiencing symptoms. He did say, however, that his skin had been darkening over the past 3 years.Testing revealed anemia, fast heart rate, low blood pressure, low sodium levels, high potassium, low cortisol levels.The man improved after treatment with saline infusion and hydrocortisone, a medical form of cortisol.The doctors determined the potential cause of his Addisonian crisis event was hyperthyroidism, a condition where the thyroid gland makes too much thyroid hormone...

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