Preoperative History: This 56-year-old female was admitted for…
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has had hypertension of several years’ duration. Ultrasound was done on an outpatient basis in
consideration of the possibility of a mass, and catecholamine studies have been normal. A …
Preoperative History: This 56-year-old female was admitted for resection of an adrenal mass.
The patient has had hypertension of several years’ duration. Ultrasound was done on an
outpatient basis in consideration of the possibility of a mass, and catecholamine studies have
been normal. A 4-5 cm right adrenal mass was identified. Dr. White had obtained a 24-hour
urinary free cortisol, ACTH, and short suppression tests, all of which confirmed the presence of
Cushing’s syndrome. The patient was not diabetic. She did report weight gain, some shift in body
configuration, and easy bruising of several years’ duration.
Surgery: A 5 cm, well-circumscribed round, cortical tumor was resected from the adrenal gland
via an open approach. Pathology diagnosis confirmed that the tumor was benign.
Allergies: No known drug allergies.
Medications on Discharge: Hydrocortisone, rapidly tapering dose, currently on 40 mg daily;
Toprol 50 mg q.a.m.; Prevacid 30 mg qd; Lipitor 10 mg q.a.m.; Prempro 0.625/2.5.
Physical Exam: Vital signs stable. HEENT: Sclerae and conjunctivae clear. Neck: Supple. No
palpable thyroid. Lungs: Somewhat decreased breath sounds currently. There is mild splinting
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