Adrenal clinical Flashcards
1
Q
What causes primary hypoadrenalism?
A
- abrupt discontinuation of steroids
- Autoimmune=addison’s disease
- Tuberculosis
- Surgery
- Haemorrhage/infarction-meningococcal septicaemia
- infiltration-malignancy,amyloid
2
Q
What tests do we need to perform to investigate adrenal function?
A
- random cortisol
- short synacthen test
- Plasma ACTH
- Urea and electrolytes
- Adrenal antibodies
3
Q
How do we treat an emergency,life-threatening adrenal crisis?
A
- ICU care
- Fluids,sodium
- IV hydro-cortisone @high dose
4
Q
How do we perform maintenance treatment for adrenal failure?
A
- Glucocorticoid (hydrocortisone,prednisolone)
- Mineralcorticoid (fludrocortisone)
