adrenal crisis


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Related to adrenal crisis: Adrenal insufficiency, Adrenal fatigue

crisis

 [kri´sis] (pl. cri´ses) (L.)
1. the turning point of a disease for better or worse; especially a sudden change, usually for the better, in the course of an acute disease.
2. a sudden paroxysmal intensification of symptoms in the course of a disease.
addisonian crisis (adrenal crisis) the symptoms accompanying an acute onset or worsening of addison's disease: anorexia, vomiting, abdominal pain, apathy, confusion, extreme weakness, and hypotension; if untreated these progress to shock and then death.
aplastic crisis a sickle cell crisis in which there is temporary bone marrow aplasia.
blast crisis a sudden, severe change in the course of chronic granulocytic leukemia, characterized by an increased number of blasts, i.e., myeloblasts or lymphoblasts.
catathymic crisis an isolated, nonrepetitive act of violence that develops as a result of intolerable tension.
celiac crisis an attack of severe watery diarrhea and vomiting producing dehydration and acidosis, sometimes occurring in infants with celiac disease.
developmental crisis maturational crisis.
hemolytic crisis an uncommon sickle cell crisis in which there is acute red blood cell destruction with jaundice.
hypertensive crisis dangerously high blood pressure of acute onset.
identity crisis a period in the psychosocial development of an individual, usually occurring during adolescence, manifested by a loss of the sense of the sameness and historical continuity of one's self, confusion over values, or an inability to accept the role the individual perceives as being expected by society.
life crisis a period of disorganization that occurs when a person meets an obstacle to an important life goal, such as the sudden death of a family member, a difficult family conflict, an incident of domestic violence (spouse or child abuse), a serious accident, loss of a limb, loss of a job, or rape or attempted rape.
maturational crisis a life crisis in which usual coping mechanisms are inadequate in dealing with a stress common to a particular stage in the life cycle or with stress caused by a transition from one stage to another. Called also developmental crisis.
myasthenic crisis the sudden development of dyspnea requiring respiratory support in myasthenia gravis; the crisis is usually transient, lasting several days, and accompanied by fever.
oculogyric crisis a symptom of an acute dystonic reaction in which the person demonstrates a fixed gaze, usually upward; also, the uncontrollable rolling upwards of the eye. It can be a result of encephalitis or a reaction to antipsychotic medications.
salt-losing crisis see salt-losing crisis.
sickle cell crisis see sickle cell crisis.
tabetic crisis a painful paroxysm occurring in tabes dorsalis.
thyroid crisis (thyrotoxic crisis) see thyroid crisis.
vaso-occlusive crisis a sickle cell crisis in which there is severe pain due to infarctions in the bones, joints, lungs, liver, spleen, kidney, eye, or central nervous system.

a·cute a·dre·no·cor·ti·cal in·suf·fi·cien·cy

severe adrenocortical insufficiency when an intercurrent illness or trauma causes an increased demand for adrenocortical hormones in a patient with adrenal insufficiency resulting from disease or use of relatively large amounts of similar hormones as therapy; characterized by nausea, vomiting, hypotension, and frequently hyperthemia, hyponatremia, hyperkalemia, and hypoglycemia; can be fatal if untreated. Death results from fulminant inflammation and/or circulatory collapses (that is, shock).

Acute Adrenal Crisis

Acute life-threatening adrenocortical insufficiency with markedly reduced serum cortisol, which arises in a background of chronic adrenocortical insufficiency (Addison’s disease).  
Aetiology Infections, trauma, adrenal haemorrhage, tuberculosis, surgery, dehydration with salt deprivation, destruction of pituitary gland or evoked by replacing thyroid hormone in patients with hypothyroidism of hypothalamic or pituitary origin and underlying mild ACTH deficiency.
Triggers GI infection, fever
Clinical findings Hypotension, shock, fever, dehydration, anorexia, weakness, apathy, headache, vomiting, chills, tachycardia, sweating, abdominal pain
Lab Reduced Na+, increased K+, increased white cells, eosinophilia, hypoglycaemia
Management Pharmacologic doses of IV hydrocortisone, pressor support

adrenal crisis

Addisonian crisis, acute adrenal insufficiency Endocrinology Acute life-threatening adrenocortical insufficiency with ↓ serum cortisol, seen in Pts with Addison's disease Triggers Infections, trauma, hemorrhage, TB, surgery, dehydration with salt deprivation, destruction of pituitary gland or evoked by replacing thyroid hormone in Pts with hypothyroidism of hypothalamic or pituitary origin and underlying mild ACTH deficiency Clinical Hypotension, shock, fever, dehydration, anorexia, weakness, apathy, headache, vomiting, chills, tachycardia, sweating Lab ↓ Na+, ↑ K+, ↑ WBCs, eosinophilia, hypoglycemia Management Pharmacologic doses of IV hydrocortisone, BP support.

a·cute a·dre·no·cor·ti·cal in·suf·fi·ci·en·cy

(ă-kyūt' ă-drē'nō-kōr'ti-kăl in'sŭ-fish'ĕn-sē)
Sudden worsening of signs and symptoms of corticosteroid deficiency when trauma or illness causes increased demand in a patient with impaired adrenal insufficiency.
Synonym(s): addisonian crisis, adrenal crisis.
References in periodicals archive ?
Desai, "Levothyroxine replacement before glucocorticoid replacement leading to adrenal crisis in a case of autoimmune polyendocrine syndrome type II (Schmidt syndrome)," Thyroid Research and Practice, vol.
In our patient, the reason for panhypopituitarism was a fast expanding sellar metastasis, with a pulmonary infection as a trigger for an adrenal crisis and manifest diabetes insipidus.
51 Sputum- Died at home positive cavitating PTB 27 None Died at home Age Cause of death Attributed to 46 Cardiorespiratory arrest Steroid secondary to adrenal crisis 26 Suspected acute Pancreatitis resulting Steroid in cardiorespiratory failure 45 Septicaemia Steroid 50 Pyothorax associated with PTB Steroid 45 Chronic adrenal suppression Steroid 23 Hypovolaemic shock secondary Steroid to hematemesis 51 Unknown Steroid 27 TB Steroid DM = Diabetes Mellitus, PTB = Pulmonary tuberculosis.
"My condition means that my adrenal gland doesn't work and if I vomit three times I need to get a salt solution into my body or I will go into an adrenal crisis which can lead to a coma.
In the most severe form of the disorder, called salt-wasting CAH, or SWCAH, the body can't maintain a proper fluid balance, setting up a lifelong possibility of acute adrenal crisis characterized by dehydration, vomiting, diarrhea, low blood sugar, shock and even death.
The patient presented with acute adrenal crisis and subsequently developed neurological disease.
These 14 articles describe endocrine diseases causing potentially life threatening emergencies, covering such topics as thyrotoxicosis, myxedema coma, acute adrenal crisis, acute calcium disorders, diseases of the sympathetic nervous system, hyperglycemic crises.
"She has problems with adrenal crisis--stress, sicknesses, any of those things can cause her to go into adrenal crisis," Deanna says.
He says: "The nurses also showed us how to give him an injection in his thigh, in case he goes into an adrenal crisis.
Acute adrenocortical insufficiency or "adrenal crisis" is a medical emergency.
Adrenal crisis is a serious hormone problem caused by taking large doses of the drug fluticasone, known as Flixotide or Seretide.
While the prognosis is excellent for Elyse "as long as she never has an adrenal crisis that is mismanaged, we still have to make sure we do the follow-up appointments and the routine blood work," Dr.