Acute adrenal insufficiency can present as

Ans. is 'd' i.e., All of the above Presentation in Acute Adrenal Insufficiency* Acute adrenal insufficiency usually occurs after a prolonged period of nonspecific complaints and is more frequently observed in patients with primary adrenal insufficiency, due to the loss of both glucocorticoid and mineralocorticoid secretion.* Postural hypotension may progress to hypovolemic shock.* Adrenal insufficiency may mimic features of acute abdomen with abdominal tenderness, nausea, vomiting, and fever.* In some cases, the primary presentation may resemble neurologic disease, with decreased responsiveness, progressing to stupor and coma.* An adrenal crisis can be triggered by an intercurrent illness, surgical or other stress, or increased glucocorticoid inactivation (e.g., hyperthyroidism).