.jpg)
Question 13
•An 18 year old, ill appearing female presents to the ED with low blood pressure. She has a 1 day history of headache and fever. Examination is significant for petechial skin lesions. Waterhouse Friderichsen syndromeis suspected. All of the following statements are TRUE EXCEPT
A.Bilateral adrenal gland hemorrhage frequently occurs with this disorder
B.The bacterial organism implicated in this severe infection is Neisseria meningitidis
C.Although controversial, administration of glucocorticoids is indicated in most cases
D.Abdominal CT is not sensitive in determining adrenal hemorrhages
E.Pregnancy is a risk factor for developing adrenal hemorrhage
Answer & Comments
•D
Comments:
–Waterhouse Friderichsen syndrome
•Is a life threatening disorder resulting from overwhelming septicemia due to infection with N.meningitidis.
•Only about 10 % of meningococcemia cases result in this syndrome.
•Bilateral adrenal hemorrhage is common.
•CT and ultrasound are both helpful in making the diagnosis.
•Although steroids are controversial, they are usually administered before antibiotic therapy.
•Risk factors for adrenal hemorrhage include: stress, trauma, anticoagulants, pregnancy, surgery, and burns.
•An 18 year old, ill appearing female presents to the ED with low blood pressure. She has a 1 day history of headache and fever. Examination is significant for petechial skin lesions. Waterhouse Friderichsen syndromeis suspected. All of the following statements are TRUE EXCEPT
A.Bilateral adrenal gland hemorrhage frequently occurs with this disorder
B.The bacterial organism implicated in this severe infection is Neisseria meningitidis
C.Although controversial, administration of glucocorticoids is indicated in most cases
D.Abdominal CT is not sensitive in determining adrenal hemorrhages
E.Pregnancy is a risk factor for developing adrenal hemorrhage
Answer & Comments
•D
Comments:
–Waterhouse Friderichsen syndrome
•Is a life threatening disorder resulting from overwhelming septicemia due to infection with N.meningitidis.
•Only about 10 % of meningococcemia cases result in this syndrome.
•Bilateral adrenal hemorrhage is common.
•CT and ultrasound are both helpful in making the diagnosis.
•Although steroids are controversial, they are usually administered before antibiotic therapy.
•Risk factors for adrenal hemorrhage include: stress, trauma, anticoagulants, pregnancy, surgery, and burns.
ليست هناك تعليقات:
إرسال تعليق