Notes in Adrenal Insufficiency

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Published	10/08/2024	Adrenal Insufficiency  Features in Babies {{c1::• Lethargy • Vomiting • Poor feeding • Hypoglycaemia • Jaundice • Failure to thrive&nb…
Published	10/08/2024	Adrenal Insufficiency Features in Older Children  {{c1::• Nausea and vomiting • Poor weight gain or weight loss • Reduced appetite (a…
Published	10/08/2024	Investigations for Adrenal Insufficiency Addison’s Disease (Primary Adrenal Failure) • {{c1::Low::High/Low?}} cortisol • {{c1::High}} ACTH • {{c1::…
Published	10/08/2024	Adrenal insufficiency: {{c1::insufficient production of steroid hormones e.g. cortisol & aldosterone}}
Published	10/08/2024	Addison’s disease: adrenal glands have been damaged, resulting in reduced secretion of {{c1::cortisol and aldosterone}}. Most common ca…
Published	10/08/2024	Secondary adrenal insufficiency is caused by inadequate {{c1::ACTH}} stimulating the adrenal glands, resulting in low levels of {{c1::cortis…
Published	10/08/2024	Tertiary adrenal insufficiency is the result of inadequate {{c1::CTRH}} release by the {{c1::hypothalamus}}. Causes: {{c1::long term (>3w…
Published	10/08/2024	Investigations for Adrenal Insufficiency{{c1::U&Es for hyponatremia & hyperkalemia}} Blood {{c1::glucose for hypoglycemia}}Test for the d…
Published	10/08/2024	Short Synacthen Test (ACTH Stimulation Test) used to confirm adrenal insufficiency.performed in the {{c1::morning::AM/PM?}} when the adrenal…
Published	10/08/2024	Management of adrenal insufficiency{{c1::Hydrocortisone}} to replace cortisol. {{c1::Fludrocortisone}} to replace aldosteroneDoses are …
Published	10/08/2024	Acute Illness & Adrenal Insufficiency  • The dose of steroid needs to be {{c1::increased}} and given more regularly …
Published	10/08/2024	Adrenal Crisis:an acute presentation of severe Addison’s, where the absence of steroid hormones result in a life threatening presentati…
Published	10/08/2024	Management of Adrenal Crisis• Intensive monitoring if they are acutely unwell • Parenteral steroids: {{c1::IV hydrocortisone}}• {{c1::IV fluid}} …
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