Adrenal insufficiency and miscellaneous Flashcards
1
Q
What is Addison’s disease?
A
absent/low glucocorticoid and/or mineralcorticoid
2
Q
etiologies of adrenal insufficiency
A
autoimmune reaction (MCC in developed countries; AAb’s to 21-hydroxylase)
adrenal hemorrhage
tuberculosis (MCC in developing countries
infections
steroid withdrawal
post-adrenalectomy
3
Q
tx of adrenal insufficiency?
A
hydrocortisone 100mg q8h
fludrocortisone 0.1 mg qDay
4
Q
sx’s of adrenal insufficiency?
A
HypoT unresponsive to fluids
Severe abdominal pain
5
Q
What is a benign adrenal adenoma composed of bone marrow and adipose elements?
A
Myelolipoma
- don’t confuse with angiomyolipoma, which is exclusively in the kidney
6
Q
what is Sheehans syndrome?
A
post-partum hypopituitarism secondary to necrosis/hypoperfusion
7
Q
2 causes of waterhouse-friderichsen syndrome?
A
hemorrhagic adrenalitis
N. meningitidis
