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ModerateEndocrinologyAddisonian crisisuk-plab-1

A 49-year-old man with long-standing rheumatoid arthritis receiving Prednisolone 7.5 mg daily presents with vomiting, abdominal pain and hypotension following a chest infection. BP is 80/50 mmHg, pulse 120 beats per minute and he appears shocked. You suspect an Addisonian crisis. What is the most appropriate immediate treatment?

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