Flashcards in Co-existing diseases- Pheochromocytoma Deck (9)
1
Pheochromocytoma:
it is a tumor located where?
adrenal medulla (or chromaffin tissue of the paravertebral sympathetic chain)
2
Pheochromocytoma:
Is a tumor of the adrenal medulla (or chromatin tissue of the paravertebral sympathetic chain) that has excessive secretion of what?
catecholamines ( usually norepinephrine)
3
Pheochromocytoma:
the tumor is found where 95% of the time
abdominal cavity
4
Pheochromocytoma:
the tumor originates where 90% of the time
adrenal medulla
5
Pheochromocytoma:
it is manifested by paroxysmal HTN, sweating, tremulousness, and tachycardia. other signs and symptoms headache, palpitations, and orthostatic hypotension. that being said... what is the diagnostic triad:
diaphoresis
Tachycardia
headaches
6
Pheochromocytoma:
is not diagnosed and treated in a timely manner, the pt may die from what?
CHF
MI
intercerebral hemorrhage
7
Pheochromocytoma:
treatment for pre-op preparation
alpha blockade (Phenoxybenzamine)
Beta blockade (to control tachycardia)
fluid status assed/hypovolemia corrected
8
Pheochromocytoma: anesthesia considerations
you don't want to stimulate the SNS. how should this be done
sedate for lines
have them deep for induction, DL, incision
9