Recognizing and managing adrenal disorders in the emergency department [digest

Amy Cutright, Stephen Ducey, Claudia L Barthold, Jeremy Kim

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Primary and secondary adrenal insufficiency are underrecognized conditions among emergency department patients, affecting an estimated 10% to 20% of critically ill patients. The signs and symptoms of cortisol deficit can be nonspecific and wide-ranging, and identification and swift treatment with stress-dosing of hydrocortisone is vital to avoid life-threatening adrenal crisis. Laboratory evaluation focuses on identification of electrolyte abnormalities typical of adrenal insufficiency, and while additional testing may depend on the type and severity of symptoms, it should not delay corticosteroid replacement. This issue provides recommendations on effective management of patients presenting with adrenal insufficiency, with particular attention to the management of critically ill and septic patients, pregnant patients, and children. [Points & Pearls is a digest of Emergency Medicine Practice.].

Original languageEnglish (US)
Pages (from-to)S1-S2
JournalEmergency medicine practice
Issue numberPearls
StatePublished - Sep 22 2017

ASJC Scopus subject areas

  • General Medicine


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