Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
Journal website http://www.jofem.org |
Review
Volume 1, Number 3, August 2011, pages 97-100
Pheochromocytoma, the Challenge to Anesthesiologists
Tables
Test/Symptoms | Sensitivity (%) | Specificity (%) | Likelihood Ratio | |
---|---|---|---|---|
Positive Result | Negative Result | |||
Vanillylmandelic acid excretion | 81 | 97 | 27.0 | 0.20 |
Catecholamine excretion | 82 | 95 | 16.4 | 0.19 |
Metanephrine excretion | 83 | 95 | 16.6 | 0.18 |
Abdominal computed tomography | 92 | 80 | 4.6 | 0.10 |
Concurrent paroxysmal hypertension, headache, sweating, and tachycardia | 90 | 95 | 18.0 | 0.10 |
Definition | |
---|---|
Cardiovascular | Palpitations, tachycardia, diaphoresis, pallor, angina, history of myocardial infarction, dyspnea, orthopnea, hypertension, heart rate, congestive heart failure (S3 orS4 gallop, jugular venous distention, pulmonary crackles), intravascular volume depletion (orthostatic hypotension, dry mucous membranes, poor skin turgor) |
Neurologic | Headache, diaphoresis, feelings of apprehension |
Gastrointestinal | Abdominal pain, nausea, malnutrition, gastrointestinal bleeding, diarrhea, palpation may precipitate a crisis |