A 35-year-old man presents with vomiting, abdominal pain, hyperpigmentation and hypotension. He has hyponatraemia and hyperkalaemia. You suspect Addis...

Question

A 35-year-old man presents with vomiting, abdominal pain, hyperpigmentation and hypotension. He has hyponatraemia and hyperkalaemia. You suspect Addisonian crisis. What is the most appropriate immediate management?

Accepted Answer

IV Hydrocortisone and IV 0.9% saline

Answer

High-dose oral Prednisolone only

Answer

Oral Fludrocortisone only

Answer

Wait for short Synacthen test before treating

Answer

Start insulin infusion

uk-plab-1 MCQ (SBA): Addisonian crisis

A 35-year-old man presents with vomiting, abdominal pain, hyperpigmentation and hypotension. He has hyponatraemia and hyperkalaemia. You suspect Addisonian crisis. What is the most appropriate immediate management?