Title: Uncommon Causes of Shock<br/>Author: Mike Winters<br/><a href='http://umem.org/profiles/faculty/141/'>[Click to email author]</a><hr/><p>
<strong><u>An Uncommon Cause of Shock</u></strong></p>
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Sepsis is the most common cause of distributive shock encountered in the emergency department and intensive care unit.</li>
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Notwithstanding, it is important to consider other etiologies of shock, especially when the patient is not responding to resuscitation.</li>
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Adrenal crisis is one uncommon etiology of distributive shock whereby the diagnosis is often delayed.</li>
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Risk factors for adrenal crisis can include recent GI illness, thyrotoxicosis, recent surgery, and physical or psychological stress.</li>
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Patients often have nonspecific symptoms of generalized weakness, abdominal pain, vomiting, fever, and altered mental status.</li>
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Current guidelines recommend the administration of 100 mg of hydrocortisone in adults suspected of having adrenal crisis. </li>
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<fieldset><legend>References</legend>
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Narayan S, Petersen TL. Uncommon etiologies of shock. <em>Crit Care Clin</em>. 2022; 38:429-441.</p>
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