Nature clinical practice. Cardiovascular medicine · 2008
Pheochromocytoma: cyclic attacks of hypertension alternating with hypotension.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kobal Sergio L, Paran Esther, Jamali Aamer, Mizrahi Solly, Siegel Robert J, Leor Jonathan
Аннотация
BACKGROUND: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min.
INVESTIGATIONS: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning.
DIAGNOSIS: Pheochromocytoma--a catecholamine secreting tumor.
MANAGEMENT: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.
INVESTIGATIONS: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning.
DIAGNOSIS: Pheochromocytoma--a catecholamine secreting tumor.
MANAGEMENT: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.
Предметные рубрики MeSH
3-IodobenzylguanidineAdministration, OralAdrenal Gland NeoplasmsAdrenalectomyAdrenergic alpha-AntagonistsAntihypertensive AgentsBlood Chemical AnalysisBlood PressureBlood Pressure DeterminationCombined Modality TherapyElectrocardiographyFemaleFluid TherapyHeart RateHumansHypertensionHypotensionInfusions, IntravenousMiddle AgedPheochromocytomaPhysical ExaminationRadiography, ThoracicRadiopharmaceuticalsTomography, X-Ray ComputedTreatment OutcomeUrinalysis