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Adrenal Crisis
adrenal crisis
- related: Endocrine
- tags: #note
Symptoms
- tachycardic, hypotensive, may need pressors
Diagnosis
- Low Na, high K
- Na 130s, K > 5
- primary adrenal insufficiency
- secondary adrenal insufficiency:
- exogenous steroids
- pituitary surgery, radiation, trauma
- pituitary mass
- hypophysitis: checkpoint inhibitors
Treatment
- stress dose hydrocortisone: stress dose steroid
- taper off as soon as possible based on clini
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Pituitary Apoplexy
pituitary apoplexy
- related: Endocrine
- tags: #note
Symptoms
- nausea, vomiting
- sudden onset, worst headache in life
- eye symptoms: diplopia
- tachycardia, hypotensive
Diagnosis
- normal vs apoplexy
- CT does not diagnose 50% of the time, order MRI head if suspecting apoplexy
Treatment
- neurosurgical and