Adrenal hemorrhage physical examination

• Hypotension is the rule and rapidly leads to septic shock.

• Rash – first macular, not much different from the rose spots of typhoid, and rapidly becoming
• Petechial and purpuric with a dusky gray color.

• Cyanosis of extremities can be impressive and the patient is very prostrated or comatose.

• In this form of meningococcal disease, meningitis generally does not occur.

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