Addisonian crisis
ICD-10 E27.2 is a billable code used to indicate a diagnosis of addisonian crisis.
An Addisonian crisis, also known as acute adrenal insufficiency, is a life-threatening condition that occurs when the body experiences a sudden and severe deficiency of cortisol, a critical hormone produced by the adrenal glands. This crisis can be triggered by various factors, including physical stress (such as surgery or infection), abrupt withdrawal from corticosteroid therapy, or adrenal gland damage due to autoimmune diseases, infections, or tumors. Clinically, patients may present with symptoms such as severe fatigue, confusion, abdominal pain, hypotension, and electrolyte imbalances, particularly hyponatremia and hyperkalemia. The crisis requires immediate medical intervention, typically involving intravenous administration of hydrocortisone and fluid resuscitation to restore hemodynamic stability and correct electrolyte disturbances. Understanding the underlying causes of adrenal insufficiency, including disorders of the pituitary gland (which regulates adrenal function) and parathyroid dysfunction (which can affect calcium metabolism), is crucial for effective management and prevention of future crises.
Detailed history of adrenal function, laboratory results, and treatment plans.
Patients presenting with fatigue, weight loss, and hypotension requiring urgent care.
Ensure documentation reflects the acute nature of the crisis and any precipitating factors.
Immediate assessment findings, treatment provided, and patient response.
Patients with acute hypotension and altered mental status requiring stabilization.
Document all interventions and the rationale for emergency treatment.
Used in the emergency treatment of Addisonian crisis.
Document the dosage, route, and timing of administration.
Endocrinologists should ensure that the underlying cause of adrenal insufficiency is addressed.
Common triggers include physical stress such as surgery or infection, abrupt withdrawal from corticosteroids, and adrenal gland damage due to autoimmune diseases or tumors.
