USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

GYN TRIAD

Adrenal Tumor

Clinical entities

Adrenal tumor: typically the onset has been rapid without positive family
history.

Abrupt-onset    virilization

Abdominal/flank mass

↑↑  DHEAS   levels

Examination.    Physical    examination will    show    evidence    of  virilization.

Pelvic  examination is  unremarkable.

Laboratory  tests.  DHEAS   level   is  markedly    elevated.

Imaging.    CT  or  MRI scan    will    show    an  abdominal-flank mass.

Management. Surgical    removal of  tumor.