Answer
See the list below:
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Treat any underlying or precipitating disorder as clinically indicated.
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Carefully monitor growth and development in pediatric patients.
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Recommend medical tag or bracelet that alerts emergency personnel to adrenal gland insufficiency.
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If exposed to chickenpox, prophylaxis with varicella-zoster immune globulin is indicated.
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If exposed to measles, prophylaxis with immune globulin is indicated.
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Closely observe for reactivation of tuberculosis in patients with latent disease.
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Media Gallery
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Computed tomographic (CT) scans of the abdomen show normal adrenal glands several months before the onset of hemorrhage (upper panel) and enlarged adrenals 2 weeks after an acute episode of bilateral adrenal hemorrhage (lower panel). The attenuation of the adrenal glands, indicated by arrows, is increased after the acute event. Reproduced from Rao RH, Vagnucci AH, Amico JA: Bilateral massive adrenal hemorrhage: early recognition and treatment. Ann Intern Med. Feb 1 1989;110(3):227-35 with permission from the journal.
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Enlarged, dense, suprarenal masses
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