Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Endocrinology


Answer 4
  1. α-Blockers. The key to successful surgical resection of a pheochromocytoma is adequate preparation of the patient. Ideally, at least 2 to 3 weeks of antihypertensive treatment should be given before surgery. Patients first should be given an α-blocker for at least 10 days before the surgery to control high blood pressure. After the α-blocker is started, a ß-blocker can be added for the control of the heart rate and any arrhythmia. Methimazole is given to patients with hyperthyroidism, and steroids are given to patients with Addison’s disease.2

    REFERENCE
    2. Pacak K, Linehan WM, Eisenhofer G, et al. Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma. Ann Intern Med 2001;134:315-29.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj