Adrenal Crisis or Insufficiency
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- Adrenal insufficiency should be suspected in patients with clinical features or disease processes associated
with adrenal dysfunction. These include sepsis, HIV infection, head trauma, bilateral flank pain, and DIC.
- Hypotension that is refractory to fluid and requires vasopressors is a common presentation. One should always suspect adrenal insufficiency in patients with unexplained hyponatremia, hypokalemia, hypoglycemia, or eosinophilia.
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