sheena2005
Forum Elite
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previousely healthy 30 year old woman has a painless lump in her neck for 2 days.her mother have been treated for thyroid tumour at the age of 35 years.her sisiter has raised calcitonin levels.on examination u find a palpable thyroid nodule.serum calcitonin is raised.which of the following shuld be excluded prior to surgical removal of the thyroid mass?
1-lung ca
2-adrenocortical ca
3-parathyroid ca
4-ovarian ca
5-pheocromocytoma
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| saadtazjam
Forum Elite
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5?
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| sheena2005
Forum Elite
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why not 3?
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| sunny2
Forum Elite
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? 5.
Pheochromocytoma, as they can be lethal because of intractable hypertension or anesthesia-induced hypertensive crises.
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| saadtazjam
Forum Elite
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agree with sunny2
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| krsna
Forum Senior
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its pheochromocytoma
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| sheena2005
Forum Elite
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pheochromocytoma is correct....
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| neeroo
Forum Newbie
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plz some one evaluate d q i its imp
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| study_ing
Forum Fanatic
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the q gives the picture of MEN syndromes. in Men 2 medullary ca of the thyroid is involved. ( suggested by the raised calcitonin). pheochromocytoma is also seen in the condiition. we need to evaluate for it preop coz the stress of surgery may ppt dangerous HTN and hence crisis. look for the pheo beforehand and provide aqequate ALPHA blockade before hand ( remember b blockade is dangerous in the initial phase )
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| sheena2005
Forum Elite
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thanks studying.
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| webjeee
Forum Guru
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Why not 1-lung ca, it secrets calcitonin too. not any clue for pheochromocytoma in this patient, although it's a comorbidity of MEN2.
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