A 43-year-old m an presented to the hospital com plaining of weight gain, m ild but continuing…

A 43-year-old m an presented to the hospital com plaining of weight gain, m ild but continuing facial acne, and decreased m uscle strength. On physical exam ination, the patient was found to be plethoric, red-faced w ith violaceous pigm ented striae on a protuberant abdom en, and w ith relatively thin extrem ities. On adm ission, serum K+ levels were 4.5 m Eq/L (norm al 3.5-5.0 m Eq/L). A com puted tom ography scan disclosed an adrenal adenom a in the left adrenal gland, and the patient was scheduled for surgery. Which of the follow ing drugs would be appropriate to give to this patient during and after surgery? A. Fludrocortisone B. Spironolactone C. Cortisol D. Am inoglutethim ide E. Mifepristone F. Ketoconazole

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