| Treatment of acute adrenal insufficiency. | |
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MedLine Citation:
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PMID: 17542196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hypoadrenocorticism is caused by a lack of endogenous glucocorticoid and mineralocorticoid. These deficiencies can cause a myriad of clinical signs. This disease is uncommon and its clinical presentation is similar to many much more commonly recognized diseases such as renal failure and various gastrointestinal disorders. Severely affected patients may present in a life-threatening adrenocortical crisis, which is characterized by variable degrees of volume depletion and electrolyte abnormalities. The emergency clinician should maintain a high clinical suspicion for hypoadrenocorticism, as early recognition and rapid treatment of hypovolemia and electrolyte abnormalities can be lifesaving. The approach to emergency treatment of hypoadrenocorticism should be to recognize and treat life-threatening arrhythmias, replace intravascular volume and normalize perfusion, correct electrolyte abnormalities and hypoglycemia, administer glucocorticoids, and perform the adrenocorticotrophic hormone stimulation test for definitive diagnosis. Patients with this condition should have a favorable outcome when treated appropriately. |
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Authors:
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Susan Meeking |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinical techniques in small animal practice Volume: 22 ISSN: 1096-2867 ISO Abbreviation: Clin Tech Small Anim Pract Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-06-04 Completed Date: 2007-06-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9806359 Medline TA: Clin Tech Small Anim Pract Country: United States |
Other Details:
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Languages: eng Pagination: 36-9 Citation Subset: IM |
Affiliation:
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Animal Medical Center, 510 East 62nd Street, New York, NY 10021, USA. susan.meeking@amcny.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adrenal Glands / physiopathology Adrenal Insufficiency / diagnosis, drug therapy, veterinary* Adrenocorticotropic Hormone / deficiency Animals Cat Diseases / diagnosis, drug therapy* Cats Dog Diseases / diagnosis, drug therapy* Dogs Electrolytes / therapeutic use* Glucocorticoids / therapeutic use* Prognosis Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Electrolytes; 0/Glucocorticoids; 9002-60-2/Adrenocorticotropic Hormone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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