Phys Clinical Cases · endocrine
Adrenal Incidentaloma AND Workup — DCE Clinical Case
DCE long-case and short-case station for Adrenal Incidentaloma AND Workup.
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Target exams
Adrenal Incidentaloma AND Workup — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Adrenal Incidentaloma AND Workup. [1]
Presenting complaint: Subacute or acute symptoms referable to Adrenal Incidentaloma AND Workup, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Adrenal Incidentaloma AND Workup, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Mogl MT [Diagnostics and surgery of mild autonomous cortisol secretion (MACS)] Chirurgie (Heidelb), 2026.PMID 41642322
- [2]Pal B, Halder A, Mallik D, Kannaujiya V, et al. Plan of Management of Adrenal Incidentaloma Diagnosed with Carcinoma Colon: A Case Report and Review of Literature Case Rep Oncol, 2026.PMID 41552648
- [3]Nazario-Perez MZ, Ceballos-Alvarez KE, Gonzalez-Figueroa G, Pastrana-Echevarria I, et al. Primary cholangiocarcinoma of the adrenal gland: a surgical and diagnostic challenge - a case report BMC Urol, 2025.PMID 41275156
- [4]Kmieć P, Okroj D, Zdrojewska M, Fiszer J, et al. Overnight Dexamethasone in Primary Aldosteronism Screening in Patients on Interfering Therapy (ODEPRASC): A Diagnostic Interpretability Study Protocol J Clin Hypertens (Greenwich), 2025.PMID 41268804
- [5]O'Connor JP, Poloju A, Pabich SK, Allen B, et al. Unveiling the Silent Threat: Disparities in Adrenal Incidentaloma Management J Surg Res, 2025.PMID 40424844
- [6]Savoie PH, Murez T, Rocher L, Neuville P, et al. French AFU Cancer Committee Guidelines - Update 2024-2026 : Assessment of an adrenal incidentaloma and oncological management Fr J Urol, 2024.PMID 39581666
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922