Authors: Eleanor Nash, Samantha Mills / Editor: Nick Tilbury / Reviewer: Eleanor Nash / Codes: EnP1, RP7, SLO1, SLO3 / Published: 12/10/2023

A 30-year-old female attended the Emergency Department (ED), presenting with vomiting, general all over body weakness and an appearance of a ‘dying swan’. She was unable to engage with questions well, responding slowly, appeared breathless and said she felt unable to walk or move.

On presentation she was haemodynamically stable, with a slight tachycardia. Examination in the Emergency Department returned normal findings; chest auscultation was clear with a normal respiration rate. There had been no physical trauma.

The patient has taken her regular medications of prednisolone 10mg OD.

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