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Exam questionKROK 2Medicine · 2010

A 26-year-old patient complains about considerable muscle weakness, dizziness, extended abdominal pain, nausea and vomiting giving no relief. The disease has been gradually developing within 6 months. There was progress of general weakness, skin darkening. The patient fell into grave condition after an ARD: there appeared abdominal pain and frequent vomiting. Objectively: the skin is dry with diffuse pigmentation. Heart sounds are significantly weakened, heart rate - 60/min, AP- 80/40 mm Hg. The abdomen is slightly painful in the epigastrial region. In blood: WBCs - 8,1 × 109/l, glucose - 3,0 millimole/l. What is the most likely diagnosis?

Answer options

  1. Acute cholecystitis
  2. Acute pancreatitis
  3. Acute food poisoning
  4. Chronic adrenal insufficiency. Addisonian crisis
  5. Toxic infectious shock
Correct answer

Chronic adrenal insufficiency. Addisonian crisis

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