- A 22 year-old female, presented with abdominal pain, vomiting and shocked.
She had a history of abdominal colics and vomiting for which she had undergone investigation including upper endoscopy with no response to the treatments given.(see photos)
- Our examination revealed :
hypotension, oral pigmentation, hypovolemia
- Urgent investigations revealed:
k 6.86
Na 121
pCO2 31.8
ph 7.22
 
What do you think of it?
 Answer:
IT was a state of Addisonian crisis that occurred as a complication of undiagnosed Addison's disease.

After life-saving treatment, the patient had a happy smile in this cinematic shot !!