Phenochromcytoma

Question 1

What is pheochromocytoma ?
What does it do
Who is affects

Answer 1

Benign tumor of adrenal
Hypersecretiok. Epinephrine -HTN
40-50 y.o equally

Question 2

3 Triad s/s of pheochromocytoma

Answer 2

Headache
Diaphoresis
Palpation

Question 3

5 Hs predictable pheochromocytoma

Answer 3

Htn headache hyperhydrosis hypermataboliam hyperglycemia

Question 4

Complication of pheochromocytoma

Answer 4

Dysthymia, dissecting aneurysm, CVA, acute renal failure ,ischemia, hemorrhage

Question 5

What happen during pheochromocytoma acute attacks

Answer 5

Symptoms begin abruptly but subside slowly

Question 6

5 diagnosis test for pheochromocytoma

Answer 6

Urine catecholamine 
Adrenal CT 
Adrenal angiography 
Clonidine suppression test 
Plasma epin / norepin

Question 7

Urine plasma catecholemine test what levels what to do before test 7 -food and drugs

Answer 7

MN -metanephrines and VMAvanillymadelic acid

48hrs a- chocolate, vanilla, coffee, banana., asa and tab/ nose spray/ decongestants

Question 8

Clonidine suppression test

What measures when abn

Answer 8

Usually decreases but if pheochromocytoma won’t decrease

Question 9

Plasma epinephrine what level in pheochromocytoma

Answer 9

Elevated

Question 10

Treatment of pheochromocytoma 5

Answer 10

Icu 
Bed rest 
Recumbent 
BP meds 
Adrenalectomy

Question 11

Adrenalectomy
So before and during - 5
2 potential complications

Answer 11

Meds 4-7 days before
Well hydrated adp
Nipride dp
TCDB-splint ted hoss 
bR 2-3 days 

Pneumothorax- pneumonia- pain TCDB

Question 12

After adrenalectomy

Teaching and meds 6

Answer 12

Monitor respiratory pneumothora
May Lower BG and increase K-dysrm 
Corticosteroid- solumedrol q day- call me I'd miss Ross 
May not be cure1/3 Pt HTn 
Push fluids 
Bilateral - steroids for life 

Minor-catecholemine