Adrenocortical insufficiency(腎上腺皮質機能低下症)

症狀/併發症(symptom/complication)	3H @hypoglycemia @hyponatremia @hypotension
病因(etiology)	class |Primary hypoadrenalism ||Chronic: primary adrenocortical insufficiency(原發性腎上腺皮質機能低下症)=Addison's disease ||Acute: Massive adrenal bleeding, infection |Secondary: Defficiency of ACTH ||hypothalamus-pituitary gland: tumor and inflammation disease ||hypothalamus-pituitary gland inhibit: long term use of glucocorticoid
檢查/準則(examination/criteria)
治療(treatment)	$acute $$Fluid support: glucose and Fludrocortisone (a kind of aldosterone) $$Cortisol replacement: Supra-physiology dose: 100mg cortisol/ hydrocortisone in first 24 hours Q6H $$Correct electrolyte: Intravenous glucose and sodium ion $chronic $$lifelong taking glucocorticoid for addison's disease
鑑別診斷(Differential Diagnosis)
流行病學(Epidemiology)

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