Contents

SynopsisCodesDifferential Diagnosis & PitfallsBest TestsDrug Reaction DataReferences

View all Images (2)

Adrenal hemorrhage
Other Resources UpToDate PubMed

Adrenal hemorrhage

Contributors: Benjamin L. Mazer MD, MBA, Marilyn Augustine MD
Other Resources UpToDate PubMed

Synopsis

Deteriorating condition of bleeding and necrosis of all 3 cortical layers of the bilateral adrenal glands, possibly in combination with adrenal infarction and adrenal vein thrombosis. It can cause a life-threatening acute adrenal crisis characterized by hypotension, shock, and death if not immediately treated. Symptoms include pain (lumbar, epigastric, pelvic, flank, and thoracic), fatigue, fever, epigastric findings (nausea, vomiting, loss of appetite), and neurologic findings (disorientation, confusion). Risk factors for adrenal hemorrhage include anticoagulant therapy, heparin-induced thrombocytopenia, trauma, sepsis, severe stress, postoperative state, and adverse drug reactions.

Treatment may include preemptive steroid therapy, resolving acute crisis, rehydration, and bed rest. Surgery is only recommended when severe adrenal trauma or tumors are involved.

Codes

ICD10CM:
E27.49 – Other adrenocortical insufficiency

SNOMEDCT:
49111001 – Adrenal hemorrhage

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Drug Reaction Data

Subscription Required

References

Subscription Required

Last Updated:04/11/2016
Copyright © 2024 VisualDx®. All rights reserved.
Adrenal hemorrhage
A medical illustration showing key findings of Adrenal hemorrhage : Diarrhea, Vomiting, Hyperkalemia, Hypoglycemia, Anticoagulant, BP decreased, Na decreased
Copyright © 2024 VisualDx®. All rights reserved.