# Talk:Adrenal crisis

The article can be expanded further by incorporating information from the external links as well as the following resources:

JSTOR 3522512
Small, M (1987 May). "Missed Addisonian crisis in surgical wards". Postgraduate medical journal. 63 (739): 367–9. PMC 2428454. PMID 3671270. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
Ozcan, F (2005 Nov). "Inverted T waves in patient with Addisonian crisis". Journal of the National Medical Association. 97 (11): 1539–40. PMC 2594907. PMID 16334501. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
Martin, C. (14 June 2012). "Perioperative Addison-Krise". Der Anaesthesist. 61 (6): 503–511. doi:10.1007/s00101-012-2033-1. PMID 22695777. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
DiptanshuTalk 12:31, 14 August 2013 (UTC)

doi:10.1056/NEJMra1807486 JFW | T@lk 13:00, 29 August 2019 (UTC)

This review is transcluded from Talk:Adrenal crisis/GA1. The edit link for this section can be used to add comments to the review.
Reviewer: Just-a-can-of-beans (talk · contribs) 00:26, 1 January 2024 (UTC)
Hello, I will review this article. This is a large and important topic, so forgive me if this takes a few days to complete. Just-a-can-of-beans (talk) 00:29, 1 January 2024 (UTC)

If you wish to act on anything listed in this table before I complete the rest of the review, please add a comment here informing me what you have changed so that I can examine the changes.Just-a-can-of-beans (talk) 01:26, 1 January 2024 (UTC)

Typing this after I've done the reference checks that made me decide to fail the article - I still have sections 2c through 5 to complete, and I will do them now, to hopefully add feedback before you resubmit later Just-a-can-of-beans (talk) 02:02, 1 January 2024 (UTC)
@Just-a-can-of-beans Thank you so much for the review. I had a lot sources open and I most likely confused some of my sources. I'm going to go through and check every source and properly track down where I got that exact info! My writing skills are rough, I often have a hard time making my sentences sound fluid if that makes sense. It's something I'm trying to work on. I will read through it again and try to make things more fluid! I really appreciate how detailed your response was! This review will really help me with my overall writing of Wikipedia pages. I'm going to focus on fixing up what you wrote and then maybe try again for a GA status once I've really dissected this page and made it perfect! Thank you again! CursedWithTheAbilityToDoTheMath (talk) 21:49, 1 January 2024 (UTC)
You're very welcome. And I'm glad you're taking this path, because in terms of information and content, this page is exceptional. Keep up the good work :) Just-a-can-of-beans (talk) 21:51, 1 January 2024 (UTC)

This review is transcluded from Talk:Adrenal crisis/GA3. The edit link for this section can be used to add comments to the review.
Nominator: IntentionallyDense (talk · contribs) 04:13, 3 September 2024 (UTC)
Reviewer: DoctorWhoFan91 (talk · contribs) 06:36, 30 October 2024 (UTC)
I'll take this one. Expect remarks in a few hours. DoctorWhoFan91 (talk) 06:36, 30 October 2024 (UTC)
I'll go section by section.


### Lead
Remove the technical terms in parenthesis- the lead does not have to be technical
 Done Special:Permalink/1254409381 IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Signs and symptoms
In an adrenal crisis, hypotension occurs due to hypocortisolism and is secondary to hypovolemia.: What does this mean?  Done
Does this look better? IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Diagnosis
First para is slightly confusing, and reads kind of like a manual, rephrase.  Done
Does this look better? IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Prevention
which is a serious cause for concern.: I'm not sure if this is encyclopaedic.  Done
Removed. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
Use different words than "should" for most/all instances; should here and in the article as a whole makes it sound like a manual most of the time  Done
Fixed. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Treatment
along with suppress antidiuretic hormone: typo?  Done
Changed wording to make clearer. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Outlook
People with hypoadrenalism are more likely to die from adrenal crises; the death rate from adrenal crises can amount to 6% of crisis events: huh? rephrase  Done
Rephrased, hopefully that is clearer. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Epidemiology
all fine


### Special Populations
Older adults frequently experience falls and fractures, which may be linked to postural hypotension, especially in those who have primary adrenal insufficiency.: rephrase to center primary adrenal insufficiency   Done
I'm not 100% sure what you meant by this but I rephrased it as Older adults, especially those who have primary adrenal insufficiency, frequently experience falls and fractures, which may be linked to postural hypotension. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
Older people ... the same population.: Merge these paragraphs, too small alone   Done
Done. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
Most cases of adrenal insufficiency in pregnancy are identified before conception.: Rephrase, I understand what it means, but in pregnancy and before conception is just jarring  Done
I just removed the "in pregnancy" part as it seems a bit unneeded. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
It has been estimated that 5–10 episodes of adrenal crisis occur for every 100 patient-years in those with adrenal insufficiency: What is this sentence trying to say?  Done
Is this better? IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### Mechanism
half-life meaning that: comma between life and meaning

it effects: "this effects" will be better
 Done both. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)


### References
They look fine.


### Causes
An absolute or relative lack of cortisol, causes adrenal crises as there is not enough tissue glucocorticoid activity to preserve homeostasis.[10]: Remove, I think this got accidently repeated here
 Done IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
congenital disorders such as: or congential disorders... (also, is everything after this until the period an example?)  Done
Changed wording and yes everything after that is congenital. IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
haemochromatosis have been known: .. have also been known...  Done
Done IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
in rectal, paraspinal, intradermal, intraarticular, injectable, nasal, inhaled, or topical preparations.: I think some of the easier ones(intradermal, intraarticular) can use their common terms and the technical one in brackets  Done
Done IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
insipidus are more likely: are even more likely  Done
Done IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
for hydrocortisone.: Mention why that would lead to decrease in cortisol  Done
Added since hydrocortisone is being metabolized faster, does that look better? IntentionallyDense (talk) 22:09, 30 October 2024 (UTC)
Good enough


### Spot-check
Doing a double check on every 8th ref in general (deeper than my usual, due to the reasons brought up in GA1 and GA2)

Ref-1: Acute adrenal insufficiency ... Also Known As Addisonian crisis,  ...  adrenal crisis ...
Ref-9: predominant clinical features of adrenal crisis include hypotension and hypovolaemia (the whole article really)
Ref-17: Patients with an adrenal crisis often present with gastrointestinal symptoms, Chronic gastrointestinal symptoms are more prevalent in AI patients compared to controls
Ref-25: provision of devices, such as a MedicAlert bracelet or necklace ... when patients cannot communicate verbally.
Ref-33:  200 mg (50–100 mg/m2 for children) of hydrocortisone/24 hours (via continuous iv therapy or 6 hourly injection)
Ref-41:  Both absolute (sBP < 100 mm Hg) and relative (>20 mm Hg lower than usual sBP) are considered indicative of an AC but ... unable to assess relative hypotension ... affected the estimation of hypotension in older patients especially, given the elevation in blood pressure with increasing age.
Ref-50: The diagnosis of adrenal insufficiency in pregnancy is relatively rare ... diagnosis can be challenging as many of the symptoms overlap with normal symptoms of pregnancy.
Ref-56: deaths among children in hospital due to an AC were found to be very uncommon


### Overall
It's long, might take some time, but having read GA1 and GA2, should pass easily. DoctorWhoFan91 (talk) 07:58, 30 October 2024 (UTC)
Some more sections reviewed. Just phrasing issues, more or less. DoctorWhoFan91 (talk) 15:50, 30 October 2024 (UTC)
Review done, IntentionallyDense. DoctorWhoFan91 (talk) 16:48, 30 October 2024 (UTC)
I'll pass it later in the day after a second read-through. DoctorWhoFan91 (talk) 07:54, 31 October 2024 (UTC)
Sounds good, thanks! IntentionallyDense (talk) 15:00, 31 October 2024 (UTC)
Did the spot check, IntentionallyDense, everything looks great. Well done, a very great article. Congratulations, keep up the good work! DoctorWhoFan91 (talk) 18:09, 31 October 2024 (UTC)
Thank you! You as well! IntentionallyDense (talk) 18:15, 31 October 2024 (UTC)