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9 Cards in this Set

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headaches, perspiration, palpitations, paroxysmal HTN, Nausea, abdominal pain, elevated urinary catecholamines, normal T4 and TSH. indicitive of?
a tumor in the adrenal gland that causes excess release of epi/noripi, usually in the medulla
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?
pheochromocytoma
what percentage of pheochromocytomas are cancerous?
<10%
what test confirms PHEO particularily when CT is neg?
MIBG scintiscan
what is the most definitive treatment of pheo?
removal of tumor by sx
what lab findings would be abnormal in a p dx with PHEO?
elevated urine metanephrine= VMA
elevated urine catecholamines
decreased glucose
abnormal catecholamines in blood
a hereditary disorder in which patients develop a type of thyroid cancer accompanied by recurring cancer of the adrenal glands?
multiple endocrine neoplasia
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?
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
what is the treatment for MEN II:
removal of both the medullary carcinoma of the thyroid and the pheochromcytoma.
hormone replacement therapy rec