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Medicine Disorders of Adrenal Gland 1926e768

Which is true about treatment of hypeensive crisis with encephalopathy in a patient with a pheochromocytoma.

A
Immediate surgical removal of the mass is indicated
B
High-dose phenoxybenzamine should be used to control the blood pressure with surgery in 24 to 48 hours
C
Treatment with phentolamine should be staed with low-dose phenoxybenzamine to be titrated upward. Surgery should be done in 2 to 3 weeks once blood pressure is below 160/100 mmHg
D
Beta blockade is contraindicated
High-Yield Explanation
Option A- Not done as the patient may require pre-operative or intra-operative management. Option C > option B- As first we will stabilize the patient and then surgery can be done post stabilizing the patient. Option D- b is given but only after a Only after a blocker

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