neuroblastoma
Forum Guru
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insufficient amounts of steroid hormones -glucocorticoids and mineralcorticoids.
Low BP
Low sodium(hyponatremia
hypoglycemia
Hyperkalemia
dehydration
Eosinophilia and lymphocytosis
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| arlete
Intern in 2009!!!!!
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Prednisone is not only glucocorticoid? Dexamethasone doesn't interfere with cosyntropin stimulation test?
Guys, I am learning a lot here! 
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| anastamosis
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See the table at http://en.wikipedia.org/wiki/Glucocorticoid
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| arlete
Intern in 2009!!!!!
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Thank you, anastomosis. I didn't remember any of that!
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| Aashi
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anastamosis wrote:
Aashi , can we have your reasoning behind those answers?
Being on chronic prednisone t/t------>his H-PAxis is under negative feedback and thus his cortisol level is low putting him at risk for increased severity/morbidity of seemingly mild infections.
Then as his cortisol level is low, he needs steroids but we also need to know about his HPitu function, so dexa + stim test is ideal.Moreover dexa does not interfere with stim test.
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| arlete
Intern in 2009!!!!!
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Thanks, Aashi.
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| dr19
Forum Senior
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I have a question:
Does hyponatremia is expected in SECONDARY adrenal insufficiency?
(where are you, Aashi?!!!)
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| anastamosis
Forum Senior
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Weakness, abdominal pain, fever, confusion, nausea, vomiting, and diarrhea.
Low blood pressure, dehydration; skin pigmentation may be increased.
Serum potassium high, sodium low, BUN high.
are all S/S of acute adrenocortical insufficiency.
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| sherry39
Forum Junior
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it is AAAAA.... note high temperature and decreased pO2....cortisol deficiency cant do that...there is only dec Na not inc K...na can be decreased due to septic shock
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