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Old 01-19-2013
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Question First Step of Management in Addisonian Crisis

A 28-year-old patient with known Addison’s disease presents with abdominal pain and is hypotensive to a systolic pressure of 88 mm Hg. He has a 2-week history of progressively worse nonproductive dry cough, sore throat, malaise, and headache. He has not checked his temperature at home but complains of constant chills.
Which of the following is the best initial management?

(A) Azithromycin
(B) Check serum glucose
(C) Hydrocortisone
(D) Intravenous fl uids
(E) X-ray of the chest
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Default (C) Hydrocortisone

(C) Hydrocortisone
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Default C

Adrenal Crisis.. Rx- Hydrocortisone
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c.hydrocortisone..
thanks
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steroids.....
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Matched!!!
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Old 01-19-2013
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I thought the same but the answer is IV fluids as the B.P is low.

But MTB 2 says that hydrocortisone
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Old 01-19-2013
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(D) Intravenous fluids

NEVER forget your ABC's
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I think it should be (D) Intravenous fluids. Any reason that why answer is Hydrocortisone ?
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Quote:
Originally Posted by sohailus View Post
I think it should be (D) Intravenous fluids. Any reason that why answer is Hydrocortisone ?
Coz it's adrenal crisis n definitive Rx is steroids. But immediate Rx as said by Novobiocin stabilize ABC 1st..

When 2 answers are right its difficult for me do deduce which should be done 1st or which is best !!
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