Table 2.
Diagnoses in hypotensive ICU patients with relative adrenal insufficiency (n = 112)
| Trauma | Surgery | Medicine | |||
|---|---|---|---|---|---|
| MVC, multiple injuries | 19 | Nephrectomy (elective) | 1 | Gastrointestinal hemorrhage | 5 |
| GSW | 2 | Thyroidectomy (elective) | 1 | Sepsis | 5 |
| Traumatic brain injury | 8 | Meningioma s/p craniotomy | 1 | Severe pneumonia | 4 |
| Fall, with seizure | 2 | Cerebral hemorrhage | 1 | West Nile Virus | 1 |
| Complex fractures | 10 | VATS | 1 | Mitral valve clot | 1 |
| Spinal cord injury | 2 | Thoracotomy for empyema | 1 | Cardiogenic shock | 1 |
| Vascular injury | 2 | Perforated viscus | 6 | Multiorgan failure | 1 |
| Solid organ injury (blunt) | 4 | Pancreaticoduodenectomy | 3 | Diabetic nephropathy | 1 |
| Diaphragmatic rupture | 1 | Spinal fusion | 1 | SIRS | 1 |
| Stab wound | 1 | Intra-abdominal abscess | 4 | Pulmonary embolism | 1 |
| Intestinal obstruction | 1 | ARDS | 4 | ||
| Perforated colon cancer | 1 | ||||
| Fournier’s gangrene | 1 | ||||
| Extreme tumor resection (elective) | 1 | ||||
| Toxic megacolon | 1 | ||||
| Rupture AAA | 1 | ||||
| Ischemic intestine | 1 | ||||
| Gastrointestinal hemorrhage | 3 | ||||
| Incarcerated hernia | 2 | ||||
| Necrotizing fasciitis | 2 | ||||
| Cholangitis | 2 |
Multiple trauma combinations of TBI (traumatic brain injury), variety of fractures, pulmonary contusions, solid organ injury, etc.; solid organ injury liver, spleen, kidney; vascular celiac and aorta