Circulatory — the dominant feature: - Hypotension progressing to shock, classically refractory to fluid resuscitation and vasopressors - Tachycardia, cool peripheries, delayed capillary refill, oliguria Constitutional: - Profound weakness and prostration — often out of proportion to the apparent illness - Fever, which may reflect the trigger, the crisis itself, or both Gastrointestinal — a classic trap: - Nausea, vomiting, and severe abdominal pain that can mimic an acute abdomen - Flank or back pain, particularly with adrenal hemorrhage - Patients have been taken to theatre for a surgical abdomen that was in fact adrenal crisis Neurological: - Confusion, lethargy, delirium, progressing to coma - Seizures, usually from hypoglycemia or severe hyponatremia Supporting clues: hyperpigmentation suggests longstanding primary disease; a Medic-Alert bracelet, a steroid card, or an emergency injection kit in a bag may be the only history available in a collapsed patient. Look for them. For NCLEX-RN (Canada), items rarely announce the topic in the first sentence. Anchor to objective data, trajectory, and the safest next step for the role named in the stem before distractors compete. On the...