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Updated: Jul 16, 2026

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Bilateral adrenal hemorrhage: an overlooked cause of hypotension
Michalis K Picolos1, Ajay Nooka, Anu Bhalla Davis
1Division of Endocrinology, Diabetes and Metabolism, The University of Texas--Houston Medical School, Houston, Texas 77030, USA. picolos_endocrine@yahoo.com
Abstract:
Bilateral adrenal hemorrhage resulting in acute adrenal insufficiency is a rare complication of anticoagulant therapy. We present the case of a patient who came to the Emergency Department with unsuspected adrenal insufficiency, followed by a second visit within 1 month with shock, to demonstrate the importance of early detection and treatment.
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