Adrenal hemorrhage laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Laboratory Findings

• Hypoglycemia
• Hyponatremia
• Hyperkalemia
• Synachten test demonstrates the acute suprarenal failure
• Leukocytosis need not to be extreme and in fact leukopenia may be seen and it is a very poor prognostic sign
• CRP levels can be elevated or almost normal
• Thrombocytopenia is sometimes extreme
• PT and PTT suggestive of DIC
• Acidosis and acute renal failure can be seen as in any severe sepsis.
• Meningococci can be readily cultured from blood or CSF, and can sometimes be seen in smears of cutaneous lesions