Developed by top pediatric hospitalists, Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, 3rd Edition, is sure to become your go-to resource from initial patient evaluation all the way through discharge management. Quickly obtain the essential information for managing a wide range of pediatric medical conditions in patients who have been admitted to the hospital with this trusted, pocket-sized reference. Available for purchase at https://www.aap.org/caring-for-the-hospitalized-child-a-handbook-of-inpatient-pediatrics-3rd-edition-paperback/
24: Acute Adrenal Insufficiency
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Published:May 2023
Sangeeta Krishna, MD, FAAP, Prabi Rajbhandari, MD, FAAP, "Acute Adrenal Insufficiency", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Adrenal crisis is a rare but life-threatening emergency, with a high mortality rate, unless recognized and treated promptly. At presentation, adrenal crisis may be a sign of adrenal insufficiency, or it may occur when a patient with known adrenal insufficiency does not receive adequate hormonal replacement. A patient being tapered off chronic glucocorticoid therapy is also vulnerable. Because the signs and symptoms of adrenal insufficiency are nonspecific, the diagnosis may not be suspected until late in the disease course, when the patient presents with a life-threatening cardiovascular collapse or severe hypoglycemia.
Primary adrenal insufficiency is consequent to diseases that affect...
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