adrenal insufficiency

[Hall, John R]

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


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