A 40-year-old man with known Addison’s disease presents with vomiting, abdominal pain, hypotension and hyperpigmentation. He has missed his steroid ta...

Question

A 40-year-old man with known Addison’s disease presents with vomiting, abdominal pain, hypotension and hyperpigmentation. He has missed his steroid tablets for 3 days. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Hydrocortisone and intravenous 0.9% sodium chloride

Answer

Oral Hydrocortisone and outpatient follow-up

Answer

Start Fludrocortisone only

Answer

Start intravenous Insulin and dextrose

Answer

Give oral Prednisolone and discharge

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

A 40-year-old man with known Addison’s disease presents with vomiting, abdominal pain, hypotension and hyperpigmentation. He has missed his steroid tablets for 3 days. What is the most appropriate immediate treatment?