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General Medicine

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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Related Images
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Fig CA 18-1 Essential (idiopathic) hypertension. (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of the aorta (arrows), especially the ascending portion. Because the elevated blood pressure has caused left ventricular hypertrophy without dilatation, the radiographic appearance of the cardiac silhouette remains normal.
Fig CA 18-1 Essential (idiopathic) hypertension. (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of th...
Fig CA 18-1 Essential (idiopathic) hypertension. (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of the aorta (arrows), especially the ascending portion. Because the elevated blood pressure has caused left ventricular hypertrophy without dilatation, the radiographic appearance of the cardiac silhouette remains normal.
Fig CA 18-1 Essential (idiopathic) hypertension. (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of th...
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