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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Working in the ED probably exposes us to a considerable amount of death and dying. From the unexpected cardiac arrest or trauma patient, through to the expected death of a patient with a terminal prognosis
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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9 responses
Clinically important case , not to miss
Good review
good review
good review
Interesting case, good for learning
Great brief update/challenge
very good case
Great refresher of Addisonian Crisis
nice case to remind us with Adissonian crisis