Adrenal Gland ============= þ Treatment of adrenocortical insufficiency: - Use dexamethasone (e.g., Decadron) rather than cortisone (e.g., Solu-Cortef), as won't interfere with stimulation test later. þ Addison's Disease/adrenocortical insufficiency - Electrolytes: + Na+ usually low, sometimes normal + K+ usually a normal or a bit high + Glucose usually low - GI: anorexia, n/v/abd pain; sometimes pain is severe þ Steroid Withdrawal - may take 6-12 months for adrenals to recover from high-dose steroids suppressing the adrenals [Tintinalli 3rd ed. p 761] þ Addison's Disease associated with: - diabetes mellitus - Hashimoto's thyroiditis - pernicious anemia - or primary ovarian failure?