<prompt> All are seen in Addison disease ExceptHyponatremiaHyperkalemiaHypotensionMetabolic alkalosis  <response>: An adrenal crisis or Addisonian crisis is a constellation of symptoms that indicates severe adrenal insufficiency. This may be the result of either previously undiagnosed Addisons disease, a disease process suddenly affecting adrenal function such as adrenal hemorrhage, or an intercurrent problem e.g., infection, trauma in someone known to have Addisons disease. It is a medical emergency and potentially life-threatening situation requiring immediate emergency treatment. Characteristic symptoms are: Sudden penetrating pain in the legs, lower back, or abdomen Severe vomiting and diarrhea, resulting in dehydration Low blood pressure Syncope loss of consciousness and ability to stand Hypoglycemia reduced level of blood glucose Confusion, psychosis, slurred speech Severe lethargy Hyponatremia low sodium level in the blood Hyperkalemia elevated potassium level in the blood Hypercalcemia elevated calcium level in the blood Convulsions Fever Ref Harrison20th edition pg 288 