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Pharmacology
A 35 years old male with long standing disseminated TB presents in a emaciated state with following features: • BP = 85/60 mmHg • Low volume pulse of 100 BPM • Diffuse hyperpigmentation that involves hand creases • Serum Na+ = 120meq/L (N = 136–146 meq/L) • Serum K+ = 6.6 meq/L) Your most immediate response would be:
To suspect secondary hyperaldosteronism and start IV steroids
To suspect gram negative sepsis and start IV antibiotics
To suspect adrenocortical insufficiency and start IV steroids
To suspect massive pulmonary thromboembolism and start IV Heparin
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