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Pheochromocytoma

Sara Usman, MBBS, Sidra Saeed, MD and Faisal Saeed, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

DIAGNOSIS

HISTORY

  • Palpitations (with or without hypertension)

  • Headache

  • Episodic hypertension

  • Sweating

  • Tremor

  • Weight loss

  • Flushing

PHYSICAL EXAM

  • Tachycardia

  • Hypertension

  • Glycosuria

  • Orthostatic hypotension

  • Pallor

  • Flu...

TREATMENT

MEDICATION

First Line

α-Blockers (phenoxybenzamine) is given first as a first-line drug followed by β-blockers (propranolol) before surgery. α-Blockade must be done first before β-blockade bec...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Preoperatively, carefully monitor vital signs, correct fluid volume, and prevent intraoperative hypertensive crises.

  • Monitor BP and pulse daily.

  • D...

REFERENCES

1
Lenders JW, Duh QY, Eisenhofer G, et al; for Endocrine Society. Pheochromocytoma and paraganglioma: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab.  2014;99...

SEE ALSO

Hypertension, Essential; Multiple Endocrine Neoplasia (MEN) Syndromes 

CODES

ICD10

  • D35.00 Benign neoplasm of unspecified adrenal gland

  • D35.02 Benign neoplasm of left adrenal gland

  • D35.01 Benign neoplasm of right adrenal gland

  • C74.90 Malignant neoplasm of unsp part of unspeci...

CLINICAL PEARLS

  • Pheochromocytoma is a tumor of adrenal gland.

  • Classic symptoms include episodic headache, tachycardia, sweating, and hypertension.

  • Diagnosis is confirmed by increased 24-hour urine colle...

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