Essential Facts on the Go: Internal Medicine (27 page)

VI_3_b
Injectable Diabetes Medications

VI_4_a
Adrenal Insufficiency in Adults

Causes

Primary

Autoimmune adrenalitis (Addison’s disease)

Infections: TB, HIV, CMV,
Cryptococcus
, histoplasmosis, coccidioidomycosis

Infiltrative diseases: metastases, lymphoma, sarcoidosis, amyloidosis, hemochromatosis

Hemorrhage: Waterhouse-Friedrichsen syndrome (meningococcus)

Drugs: ketoconazole, etomidate

Surgical: bilateral adrenalectomy

Secondary

Pituitary tumors

Pituitary irradiation