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Treatment for adrenal insufficiency

June 22, 2017 mfadmin Medicine

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Treatment for adrenal insufficiency

Primary: daily oral glucocorticoid and daily fludrocortisoneSecondary: same as above but not mineralocorticoid replcaement

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Previous Post:Standard ACTH test,”Test for primary adrenal insufficiency IV infusion of ACTH and measure plasma cortisolIn primary – cortisol does not increase sufficiently In secondary – cortisol fails to respond to ACTH but if the test is repeated for 4-5 days

Next Post:Congenital adrenal hyperplasia,”Autosomal recessive, 90% due to 21-hydroxylase deficiency Increased ACTH secretionHigh levels of 17-hydroxyprogesterone in serum Salt wasting form: hyponatremia and hyperkalemia, emesis, shock

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