At a glance
HR 118 bpm BP 72/40 SpO2 94% Serum Cortisol: 1.2 mcg/dL (ACTH 1250 pg/mL)
"38M with severe collapse, BP 72/40 & dark skin patches."
Patient History
A 38-year-old male Software Engineer presents with sudden collapse, severe weakness, and abdominal pain. He has a 5-day history of gastroenteritis and 3 days of persistent vomiting preventing oral replacement steroids.
Clinical Examination & Labs
Examination reveals severe hypotension (72/40 mmHg) and diffuse cutaneous hyperpigmentation.