Adrenal Insufficiency

Adrenal insufficiency with acute crisis is a cause of shock in critically patients that may be underdiagnosed. Adrenal insufficiency may result from adrenal, pituitary, or hypothalamic disorders. Medications may also contribute to adrenal insufficiency. C

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Amy M. Ahasic and Anuradha Ramaswamy

Case Presentation A 54-year-old man with a history of alpha-1 antitrypsin deficiency complicated by cirrhosis, type 2 diabetes mellitus, and hypothyroidism presented after being found unresponsive at home. In the field, he had a heart rate of 44 beats per minute (bpm) in sinus rhythm, and a fingerstick blood glucose of 

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