adrenal insufficiency

[Hall, John R]

Alan,
 
Perhaps your patients do not have adrenal insufficiency.  It is not that common.  I will guarantee though that when you find a patient with increased eos (unless there is some other zebra causing them) that if you do an adrenal stimulation test it will be abnormal.
john

________________________________

From: trauma-list-bounces at trauma.org on behalf of Tyroch, Alan
Sent: Sat 5/26/2007 4:29 PM
To: Trauma & Critical Care mailing list
Subject: RE: adrenal insufficiency



Although the literature states that there is eosinophilia with adrenal
insufficiency, I personally have never seen it (and I have been looking
for it)in our surgical/trauma patients in the ICU.
A. Tyroch
TTUHSC-El Paso

-----Original Message-----
From: Rangraj Setlur [mailto:rangraj at gmail.com]
Sent: Tuesday, May 22, 2007 9:05 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: adrenal insufficiency

Dr Hall, thats a fascinating statement. Do you have any references which
back that up? what level of eosinophils would you consider as elevated
in a
setting of sepsis? we do differentials  for eosinophilia in india
because of
tropical eosinophilia, but i'd never thought of looking specifically at
eosinophils in this setting.
thanks,
rangraj

On 5/22/07, Hall, John R <John_R_Hall at wellmont.org> wrote:
>
> An easy way to "check" for adrenal insufficiency is to look at the eos
on
> your WBC.  If the person is "normal", they should be suppressed due to
> adrenal steroids (usually elevated post shock, icu, etc).  If they are
> elevated, it is almost diagnostic for adrenal insufficiency in the ICU
> (barring a few zebras)
> j
>
> ________________________________
>
> From: trauma-list-bounces at trauma.org on behalf of Rangraj Setlur
> Sent: Tue 5/15/2007 9:15 AM
> To: Trauma &amp, Critical Care mailing list
> Subject: Re: adrenal insufficiency
>
>
>
> I'm sure it exists, but theres also the possibility that what being
seen
> is
> vasopressin deficiency.
> rangraj
> On 5/13/07, Roy Danks <roydanks at hotmail.com> wrote:
> >
> > Absolutely...low flow state.  Without a doubt.  well described in
the
> > acute burn patient as well.
> >
> > RD
> >
> >
> >
> > > Date: Sun, 13 May 2007 14:12:31 +0100> From: kazakosgm at yahoo.gr>
To:
> > trauma-list at trauma.org> Subject: adrenal insufficiency> > Dear all,>
I'd
> > like to ask if any of you have ever suspected relative adrenal
> insufficiency
> > after profound hemorrhagic shock (even if you didn't administered
> steroids).
> > Thank you in advance, > George M. Kazakos DVM, PhD.> > > George M.
> Kazakos
> > DVM, PhD, > Anesthesia and Intensive Care Unit, > Companion Animal
> Clinic, >
> > Dept. Clinical Sciences, > Faculty of Veterinary Medicine, >
Aristotle
> > University of Thessaloniki, > 11 St. Voutyra str., > 54627
Thessaloniki,
> >
> > Greece> > ---------------------------------> ?????????????? Yahoo!>
> > ?????????? ?? ?????????? ???? ???? (spam); ?? Yahoo! Mail ????????
???
> > ???????? ?????? ????????? ???? ??? ??????????? ????????? >
> > http://login.yahoo.com/config/mail?.intl=gr > --> trauma-list :
> TRAUMA.ORG>
> > To change your settings or unsubscribe visit:>
> > http://www.trauma.org/index.php?/community/
> > _________________________________________________________________
> > Create the ultimate e-mail address book. Import your contacts to
Windows
> > Live Hotmail.
> >
> >
>
www.windowslive-hotmail.com/learnmore/managemail2.html?locale=en-us&ocid
=TXT_TAGLM_HMWL_reten_impcont_0507--
> > trauma-list : TRAUMA.ORG
> > To change your settings or unsubscribe visit:
> > http://www.trauma.org/index.php?/community/
> >
>
>
>
> --
> Lt Col Rangraj Setlur
> Associate Professor
> Department of Anaesthesiology and Critical Care
> Armed Forces Medical College
> Pune
> India
>
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>


--
Lt Col Rangraj Setlur
Associate Professor
Department of Anaesthesiology and Critical Care
Armed Forces Medical College
Pune
India

--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/



-------------- next part --------------
A non-text attachment was scrubbed...
Name: not available
Type: application/ms-tnef
Size: 7614 bytes
Desc: not available
Url : http://list.mistral.net/pipermail/trauma-list/attachments/20070605/572c1420/attachment.bin