A 32-Year-Old Man Comes to the Office for a Routine

A 32-year-old man comes to the office for a routine preemployment physical.  He has been feeling well.  Ten years ago, his father died suddenly at age 54.  Blood pressure is 175/103 mm Hg in the right arm and 180/105 mm Hg in the left, and pulse is 82/min.  BMI is 22.1 kg/m².  The lungs are clear bilaterally and heart sounds are normal.  Bilateral, nontender, upper abdominal masses are palpated on examination.  Hemoglobin level is 15.2 g/dL and creatinine concentration is 0.8 mg/dL.  Which of the following is the most appropriate next step in evaluating this patient's condition?

A) 24-hour urine cortisol
B) Abdominal ultrasound
C) Captopril-enhanced radionuclide renal scan
D) Plasma aldosterone/renin ratio
E) Urine metanephrines

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free