Known hypertensive patient with BP 215/110 mmHg, catecholamines 2100, and a 4 cm mass in the right adrenal cortex. What is the treatment for hypertension: 1. Alpha blockers 2. Beta... Known hypertensive patient with BP 215/110 mmHg, catecholamines 2100, and a 4 cm mass in the right adrenal cortex. What is the treatment for hypertension: 1. Alpha blockers 2. Beta blockers 3. ACE inhibitors 4. Ca Channel blockers?
Understand the Problem
The question presents a clinical scenario involving a known hypertensive patient with specific symptoms and asks for the appropriate treatment options for hypertension given the details, particularly considering the presence of a mass in the adrenal cortex.
Answer
Alpha blockers
The final answer is Alpha blockers.
Answer for screen readers
The final answer is Alpha blockers.
More Information
For a patient with symptoms suggestive of pheochromocytoma, such as a large adrenal mass and high catecholamine levels, alpha blockers are typically the first-line treatment. They help manage blood pressure by counteracting the effects of excess catecholamines.
Tips
A common mistake is to prioritize beta blockers for blood pressure control in cases like this. However, beta blockers can worsen symptoms if initiated before proper alpha blockade.
Sources
- Pheochromocytoma Medication: Alpha Blockers, Antihypertensives ... - emedicine.medscape.com
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