Adrenal hemorrhage physical examination

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

Physical Examination

Vital Signs

• Hypotension is the rule and rapidly leads to septic shock.

Skin

• Rash - first macular, not much different from the rose spots of typhoid, and rapidly becoming
• Petechial and purpuric with a dusky gray color.

Extremities

• Cyanosis of extremities can be impressive and the patient is very prostrated or comatose.

Neurologic

• In this form of meningococcal disease, meningitis generally does not occur.