Cardiogenic Shock: An Initial Presentation of Primary Adrenal Insufficiency
نویسندگان
چکیده
منابع مشابه
Adrenal insufficiency during septic shock.
OBJECTIVE To determine whether a baseline (random) cortisol concentration <25 microg/dL in patients with septic shock was a better discriminator of adrenal insufficiency than the standard (250 microg) and the low-dose (1 microg) corticotropin stimulation tests as assessed by the hemodynamic response to steroid replacement. SETTING Intensive care unit. PATIENTS Fifty-nine patients with septi...
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A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue. She was found to be in cardiogenic shock. Her initial EKG was concerning for STEMI and her troponin was positive. She was eventually diagnosed with spontaneous coronary artery dissection. This case report discusses her presentation, management, and clinical course. We em...
متن کاملAdrenal insufficiency in primary adrenal lymphoma: Innocuous presentation of a rare sinister illness.
Adrenal insufficiency can often manifest with nonspecific complaints. Primary adrenal lymphoma is a rare cause of adrenal insufficiency. We present the case of a 55-year-old female who presented with nonspecific complaints of abdominal pain, pallor and weight loss and was found to have primary adrenal lymphoma. The case highlights the need to expeditiously initiate steroid replacement in patien...
متن کامل[Adrenal insufficiency in children with septic shock].
OBJECTIVE To review the criteria for diagnosing and treating adrenal insufficiency in patients with septic shock. SOURCE OF DATA Articles published in Brazilian and foreign journals selected through these publicationś websites and Medline, as well as references cited in key articles. SUMMARY OF THE FINDINGS The literature reports a range betwen 17 and 54% for the finding of adrenal insuffic...
متن کاملprimary hyperaldostronisim as initial presentation of adrenal cortical carcinoma with liver metastasis: a case report.
adrenocortical carcinoma (acc) is a rare tumor and usually a fatal disease which can develop at any age in either sex. differential diagnosis between malignant and benign adrenal mass is not easy which leads to significant clinical challenge for optimal treatment. here we report a 22-year-old woman diagnosed with primary hyper aldostronism initially but disease relapsed during six months and ma...
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ژورنال
عنوان ژورنال: AACE Clinical Case Reports
سال: 2016
ISSN: 2376-0605
DOI: 10.4158/ep15842.cr