Adrenal Emergencies - 26/09/23
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Résumé |
The adrenal glands drive physiologic homeostasis, with dysregulation in any direction causing multisystem dysfunction. Adrenal excess states include hyperaldosteronism which manifests with refractory hypertension and electrolyte abnormalities including hypernatremia and hypokalemia. Paragangliomas including pheochromocytoma can cause multisystem end-organ dysfunction due to catecholaminergic storm, which require rapid blood pressure control with phentolamine and identification of lesions amenable to surgical resection. Adrenal insufficiency states in contrast can result in hypotension and decompensation refractory to vasopressor administration, requiring adrenal supplementation via hydrocortisone.
Le texte complet de cet article est disponible en PDF.Keywords : Adrenal insufficiency, Addison’s disease, Adrenal crisis, Cushing syndrome, Hyperaldosteronism, Pheochromocytoma, Paraganglioma
Plan
Vol 41 - N° 4
P. 795-808 - novembre 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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