35 yo dude has weakness fatigue, wt loss, over the past year. He's anorexic and lost all interest in activities. BP is 98/70, temp is 37.1, resp is 14, pulse is 74
he is irritable and restless. There is hyperpigmentation on the skin
he's got
Hb 10.3
WBC 3000
Na 130
Potassium 5.5
CXR and PPD are normal
what is the next best step in the management of this patient???
a) cosyntropin stimulation test
b) Begin hydrocotisone
their answer is cosyntropin!!!
WTF!!!!
the dude is hemodynamically unstable, he's got low BP
why in the world would you do a confirmatory test, first before starting to treat him for the addison's its obvious from the presentation he's got the disease????
what do you guys think?
he is irritable and restless. There is hyperpigmentation on the skin
he's got
Hb 10.3
WBC 3000
Na 130
Potassium 5.5
CXR and PPD are normal
what is the next best step in the management of this patient???
a) cosyntropin stimulation test
b) Begin hydrocotisone
their answer is cosyntropin!!!
WTF!!!!
the dude is hemodynamically unstable, he's got low BP
why in the world would you do a confirmatory test, first before starting to treat him for the addison's its obvious from the presentation he's got the disease????
what do you guys think?