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9 Cards in this Set
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- Back
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headaches, perspiration, palpitations, paroxysmal HTN, Nausea, abdominal pain, elevated urinary catecholamines, normal T4 and TSH. indicitive of?
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a tumor in the adrenal gland that causes excess release of epi/noripi, usually in the medulla
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a tumor of the adrenal gland that causes excess releasae of epi/norepi, and is usually in the medulla of one or both of the adrenals?
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pheochromocytoma
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what percentage of pheochromocytomas are cancerous?
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<10%
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what test confirms PHEO particularily when CT is neg?
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MIBG scintiscan
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what is the most definitive treatment of pheo?
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removal of tumor by sx
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what lab findings would be abnormal in a p dx with PHEO?
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elevated urine metanephrine= VMA
elevated urine catecholamines decreased glucose abnormal catecholamines in blood |
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a hereditary disorder in which patients develop a type of thyroid cancer accompanied by recurring cancer of the adrenal glands?
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multiple endocrine neoplasia
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patient presents with severe HA, palpitations, sweating and angina. Complaints of weight loss, hemoptesis, polyuria/polydypsia. You palpate cervical lymph nodes on exam, and feel several nodules on the thyroid. vital reveal a hypertensive and febrile patient. what do you suspect/do next?
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MEN II:
MIBG (shows PHEO) MRI of abdomen: to show adrenal mass thyroid biopsy: showing carcinoma cells Decreased serum phos increased serum alk phos Screen FAMILY MEMBERS |
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what is the treatment for MEN II:
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removal of both the medullary carcinoma of the thyroid and the pheochromcytoma.
hormone replacement therapy rec |
