Editing Diagnosis and Evaluation of Adrenal Mass (section)

=== History and Physical Exam ===

*'''Most patients are asymptomatic'''
*'''<span style="color:#ff0000">Screen for signs and symptoms related to disorders of</span>'''
** '''<span style="color:#ff0000">Adrenal hyperfunction</span>'''
**# '''<span style="color:#ff0000">Hypercortisolism (9)</span>'''
**##'''<span style="color:#ff0000">Central obesity</span>'''
**##'''<span style="color:#ff0000">Moon facies</span>'''
**##'''<span style="color:#ff0000">Buffalo hump</span>'''
**##'''<span style="color:#ff0000">Facial plethora</span>'''
**##'''<span style="color:#ff0000">Menstrual disturbances</span>'''
**##'''<span style="color:#ff0000">Hirsuitism</span>'''
**##'''<span style="color:#ff0000">Proximal muscle weakness</span>'''
**##'''<span style="color:#ff0000">Easy bruisability</span>'''
**##'''<span style="color:#ff0000">Abdominal striae</span>'''
**##'''<span style="color:#ff0000">Systemic manifestations include dyslipidemia, insulin resistance, and hypertension</span>'''
**# '''<span style="color:#ff0000">Hyperaldosteronism: hypertension</span>'''
**#*Hypertension classified as
**#** Elevated blood pressure: SBP 120-129 mm Hg; DBP < 80 mm Hg
**#** Stage 1 hypertension: SBP 130 - 139 mm Hg; DBP 80 - 89 mm Hg
**#** Stage 2 hypertension: SBP ≥140 mm Hg; DBP ≥ 90 mm Hg
**# '''<span style="color:#ff0000">Pheochromocytoma (3):</span>''' 
**##'''<span style="color:#ff0000">Headache</span>'''
**##'''<span style="color:#ff0000">Episodic sudden perspiration</span>'''
**##'''<span style="color:#ff0000">Tachycardia</span>'''
**# '''<span style="color:#ff0000">Adrenal sex steroid hypersecretion</span>'''
** '''<span style="color:#ff0000">Adrenal malignancy</span>'''