How to Manage an Acute Adrenal Crisis With Empiric Steroids

The most common place of an extra adrenal phenochromocytoma is at the aortic bifurcation, the organ of Zuckercand. So you're going to start with empiric steroids of hydrochlorosone, 100 milligrams IV to eight hours. We have a patient with long standing rheumatoid arthritis who takes 20 milligrams of prednisone daily for the past six months. She develops intractable biliary colic and is being prepared for laparoscopic cholosis ectomy. How do you want to manage her steroids periodically? The home dose should be fine. Supplement if needed.