Acute adrenal crisis

A patient (39 yo female) arrives at your clinic. She complains of back pain, frequent and painful urination, and nausea. The symptoms have been present for 2 days and are worsening. There is also a chronic headache, abdominal pain, lack of appetite, and fatigue in the patient’s medical history.
What are we going to do next?

Help

The ABCDE approach.

Order an abdominal ultrasound and the following treatment will be determined according to findings.

Refer the patient to a urologist as our impression is a urinary infection.

Examination

HPC: back pain, frequent and painful urination for 2 days, nausea, symptoms are worsening
Family history: unrelevant
PMH: chronic headache, abdominal pain, lack of appetite, fatigue
Injuries: 0, surgeries: 0, transfusions: 0
Allergies: 0
Medications: Urosept tea for 2 days, 3x per day
Gynecological history: regular menstruation á 29 days, 2 deliveries, no contraception
Physiological functions: dysuria, polakisuria
Social history: married, office work in an IT company
Drug abuse: alcohol occasionally, non-smoker, 1 coffee per day