Pheochromocytoma in the pregnant patient: a case study.
This is a case study of a patient 32 weeks pregnant who presented with multiple endocrine neoplasia type IIa, with severe pheochromocytoma complicated by adult respiratory distress syndrome. The patient's blood pressure was labile, with systolic variations from 50 to 230 mm Hg and tachycardia ranging from 150 to 180 beats per minute. The patient was treated with a variety of alpha- and beta-blockers whose efficacy is compared. Hemodynamic measures are compared with the clinical presentation. The importance of fluid replacement is discussed.
Department of the Air Force, Hickam Air Force Base, HI 96853-5300.
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Howard
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D009377:Multiple Endocrine Neoplasia / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D009774:Obstetrics / Q000379:methods; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012128:Respiratory Distress Syndrome / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012307:Risk Factors
D000317:Adrenergic alpha-Antagonists; D000319:Adrenergic beta-Antagonists