Author: Sobia Akhtar / Editor: Steve Corry-Bass / Reviewer: Emer Kidney / Codes: EnP1, NepC3, RP7, SLO3 / Published: 03/07/2019

You see a 20-year-old student in resus with vomiting. She is drowsy and incoherent so you are unable to get much information. You notice a Medic-Alert bracelet on her wrist that reads ‘Addison’s Disease’.

She is hypotensive (85/60), and tachycardic (120). Temperature and oxygen saturations are normal. She remains hypotensive despite fluid resuscitation. You suspect she is in adrenal crisis.

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