03-08-2008, 02:47 PM
A 38-year-old woman is found to have a 3-cm heterogeneous mass in the right adrenal gland during evaluation for abdominal discomfort. Plasma fractionated metanephrines are twice the upper limit of normal concentration. A 24-hour urine collection for metanephrines contains 2.5 times the normal daily excretion. Pheochromocytoma is suspected and laparoscopic adrenalectomy is planned within the next 14 to 21 days.
The blood pressure is 206/110 mm Hg, and the pulse rate 104/min. She is taking no medication at this time.
Which of the following would be indicated first before surgery?
A Carvedilol therapy
B Blood transfusion
C Fine-needle aspiration of the mass
D Phenoxybenzamine therapy
The blood pressure is 206/110 mm Hg, and the pulse rate 104/min. She is taking no medication at this time.
Which of the following would be indicated first before surgery?
A Carvedilol therapy
B Blood transfusion
C Fine-needle aspiration of the mass
D Phenoxybenzamine therapy
