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February 2025

This month we discuss the PERC 35 Rule | Glucocorticoid-induced adrenal insufficiency | and New Online content

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Headache with Stealthy Hypertension

A 45-year-old male with a history of hypertension, type 2 diabetes mellitus, and Von Hippel-Lindau syndrome presents to the ED with paroxysmal headaches and elevated blood pressure.

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An Unexpected Twist

A 67-year-old lady presents to the ED with mild wheeze, frontal headache, fever and vomiting. She is hypotensive and tachycardic. You arrange to see her in Resus.

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Addisonian Crisis

Addison’s disease otherwise known as primary adrenal insufficiency or hypoadrenalism is a relatively rare disorder. It can affect people of any age, although it mostly occurs in women and in those between the ages of 30-50.

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Phaeochromocytoma

The spontaneous presentation of phaeochromocytoma is normally between the age of 40 and 50 years, however the hereditary forms often present in younger individuals, including children.

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A Time Critical Crisis

A 43-year-old man is hypotensive, tachycardic and febrile… barn door sepsis or something else? The devil is in the detail!

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