After adrenalectomy, which symptom is not typically associated with adrenal insufficiency?

• A. Double vision
• B. Hypotension
• C. Mental status changes
• D. Weakness

Answer: (A)

After adrenalectomy, the body’s lack of adrenal hormones most directly produces symptoms from cortisol and mineralocorticoid deficiency. This leads to low blood pressure due to volume depletion from aldosterone loss, weakness from fatigue and hypoglycemia, and mental status changes from hyponatremia and decreased glucose delivery to the brain. Double vision is not a typical result of adrenal insufficiency because diplopia stems from problems with eye muscles or cranial nerves, not from hormone deficiency. So the symptom that does not fit adrenal insufficiency after adrenalectomy is double vision.