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Using a Short ACTH Stimulation Test to Identify Patients with Septic Shock Who Have Relative Adrenocortical Insufficiency

Purpose:

To evaluate a patient with septic shock for relative adrenocortical insufficiency using a short ACTH stimulationt test.

Specialty:

Critical Care
Emergency Medicine
Infectious Diseases

Objective:

risk factors, clinical diagnosis, including family history for genetics, laboratory tests, selection

ICD-10:

A49.9, R57.2

Description:

Annane et al and Loisa et al identified patients with septic shock who showed relative adrenocortical insufficiency based on a short ACTH stimulation test. These patients benefit from administration of low dose corticosteroids. Annane et al are from multiple hospitals in France while Loisa et al are from Tampere Hospital in Finland.

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