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Tuesday, November 27, 2007

Oral Medicine and Radiology MCQ answer 11

Tuesday, November 27, 2007

Answer is D

Addisonian crisis is where a stressful event like an illness or an accident causes the symptoms to suddenly become much worse. It is also called an acute adrenal insufficiency. Symptoms are

1. sudden penetrating pain in the lower back, abdomen or legs,

2. severe vomiting and diarrhea, followed by dehydration,

3. low blood pressure,

4. loss of consciousness.

Treatment involves replacing or substituting cortisol and aldosterone if it is deficient. Crisis therapy would involve IV hydrocortisone, saline, and dextrose.



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