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* Adrenal Mass mgmt
 #139207  
  cjay - 11/16/06 22:36
 
  A 33-year-old man comes to the office complaining of 3 months of severe headaches preceded by sweating and palpitations. He denies any chest pain or shortness of breath with these episodes. He has not taken any new medications and denies excessive caffeine intake and illicit drug use. His temperature is 37.0 C (98.6 F), blood pressure is 120/70 mm Hg, pulse is 78/min, and respirations are 14/min. Physical and neurological examinations are unremarkable. Thyroid function tests, a complete blood count, and a 24-hour urine cortisol are all within normal limits. Urine catecholamines are elevated. You order a CT scan of the abdomen, which shows an adrenal mass. The most appropriate next step is to

A. begin therapy with phenoxybenzamine
B. begin therapy with propanolol
C. consult a surgeon for emergent laparoscopic adrenalectomy
D. order serial CT scans to evaluate progression
E. perform a fine needle aspiration of the mass
 
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* Re:Adrenal Mass mgmt
#561755
  masterdoc - 11/16/06 23:09
 
  d.....  
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* Re:Adrenal Mass mgmt
#561766
  internalmed - 11/16/06 23:17
 
  agree bp is normal so go with d  
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* Re:Adrenal Mass mgmt
#561843
  pesho - 11/17/06 01:48
 
  Before surgery we will give phenoxybenzamine so i ll go with A  
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* Re:Adrenal Mass mgmt
#561906
  malak - 11/17/06 06:31
 
  A. begin therapy with phenoxybenzamine  
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* Re:Adrenal Mass mgmt
#562258
  internalmed - 11/17/06 11:49
 
  CAJAY THANKS FOR GOOD QUESTIONS,PLEASE POST THE ANSWERS TOO  
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* Re:Adrenal Mass mgmt
#562538
  focuseddoc - 11/17/06 14:31
 
  A.  
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