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JUNE 21, 2016

Recommendation: Common Sense

By Linda Wong, MD

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I looked at the next patient on my schedule and saw: “Reason for referral: Evaluate for adrenalectomy.”

In the next several minutes, visions of pheochromocytomas and aldosteronomas danced through my head. I thought about all of those algorithms about how to work up an incidental adrenal mass. It had been awhile, but I still remembered something about the urine metanephrines, aldosterone, plasma renin tests and dexamethasone suppression tests. I Googled some things to