Adrenal Disorders & Adrenalectomy — Practice
A 34-year-old woman presents with episodic headache, palpitations and sweating; plasma metanephrines are markedly raised and CT shows a 4 cm right adrenal mass. Which is the single most important pharmacological step before adrenalectomy?
AStart propranolol immediately as first-line agent
BCommence phenoxybenzamine for 7-14 days before surgery
CGive high-dose hydrocortisone preoperatively
DBegin intravenous adrenaline infusion intraoperatively