Non – Diabetic Endocrine Emergencies. “What an emerg doc needs to know” Rob Hall PGY3 December 5 th , 2002. WHY?. Uncommon Potentially lethal Diagnostic dilemmas ED treatment may be life-saving. Non – Diabetic Endocrine Emergencies. Outline. Objectives. How uncommon?
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“What an emerg doc needs to know”
Rob Hall PGY3
December 5th, 2002
(Grave’s disease or Mulitnodular toxic goiter)
(Hashimoto’s thyroiditis, post surgery/ablation most common)
Underlying Adrenal Insufficiency
(Addision’s and Chronic Steriods)
Nausea, vomiting, abdominal pain
Distributive shock not responsive to fluids or pressors
Hyponatremia, hyperkalemia, metabolic acidosis
Known Adrenal insufficiency
Features of undiagnosed adrenal insufficiency
Weakness, fatigue, weight loss, anorexia, N/V, abdo pain, salt craving, hyperpigmentationKey Features of Adrenal Crisis