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Acute adrenal cortical insufficiency, also known as acute adrenal crisis, is a medical emergency caused by a sudden and severe deficiency of cortisol, a hormone produced by the adrenal cortex. Symptoms of acute adrenal cortical insufficiency include nausea, vomiting, abdominal pain, low blood pressure, confusion, and fatigue. If left untreated, acute adrenal cortical insufficiency can lead to shock, coma, and even death. Treatment typically involves the administration of intravenous fluids and glucocorticoid hormones to replace the missing cortisol.
All of the following must be considered when interpreting clinical findings and are too extensive to be covered on this site: