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Adrenal Insufficiency

Adrenal Insufficiency Adrenal insufficiency often presents with generalized nonspecific symptoms that can delay diag- nosis by even experienced healthcare providers. This brief review of both primary and secondary adrenal insufficiency provides a case study, an overview of adrenal disease, differential diagnoses associated with derangements common to adrenal insufficiency, current diagnostic strategies, and treatment options available. Key words: Addison’s disease, adrenal insufficiency, glucocorticoid deficiency DRENAL INSUFFICIENCY is character- ilar symptoms 3 days ago requiring hospital- ized by damage to the adrenal glands ization and was treated for urinary retention Aand the subsequent decreased levels and urinary tract infection. The return of gas- trointestinal symptoms, a dull intermittent ab- of circulating glucocorticoids throughout the dominal pain, and an increased amount of liq- body. The condition can be categorized as ei- uid stool in her colostomy pouch prompted ther primary or secondary, affecting between her to call EMS. 93–140 per million and 150–280 per mil- The patient has a history of ischemic coli- lion, respectively (Arlt & Allolio, 2003; Endert, tis postcolostomy 5 years prior, hypertension, Ouwehand, Fliers, Prummel, & Wiersinga, hypothyroidism, and Raynaud’s disease. Her 2005). The ability to make accurate diagnoses vital signs on admission were a temperature of endocrine system disorders http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Adrenal Insufficiency

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Copyright
© 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/01.TME.0000319927.05097.a4
Publisher site
See Article on Publisher Site

Abstract

Adrenal insufficiency often presents with generalized nonspecific symptoms that can delay diag- nosis by even experienced healthcare providers. This brief review of both primary and secondary adrenal insufficiency provides a case study, an overview of adrenal disease, differential diagnoses associated with derangements common to adrenal insufficiency, current diagnostic strategies, and treatment options available. Key words: Addison’s disease, adrenal insufficiency, glucocorticoid deficiency DRENAL INSUFFICIENCY is character- ilar symptoms 3 days ago requiring hospital- ized by damage to the adrenal glands ization and was treated for urinary retention Aand the subsequent decreased levels and urinary tract infection. The return of gas- trointestinal symptoms, a dull intermittent ab- of circulating glucocorticoids throughout the dominal pain, and an increased amount of liq- body. The condition can be categorized as ei- uid stool in her colostomy pouch prompted ther primary or secondary, affecting between her to call EMS. 93–140 per million and 150–280 per mil- The patient has a history of ischemic coli- lion, respectively (Arlt & Allolio, 2003; Endert, tis postcolostomy 5 years prior, hypertension, Ouwehand, Fliers, Prummel, & Wiersinga, hypothyroidism, and Raynaud’s disease. Her 2005). The ability to make accurate diagnoses vital signs on admission were a temperature of endocrine system disorders

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Apr 1, 2008

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