Adrenal masses Quiz: Ace Your Exams

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A 44-year-old woman is brought to the emergency department an hour after developing acute confusion. According to her husband, the patient had been experiencing headaches and blurry vision for the past several hours. She has no significant past medical history. Temperature is 37.0°C (98.6°F), pulse is 102/min, and blood pressure is 205/110 mmHg. Physical examination shows right-sided weakness and loss of sensation. A CT scan of her head demonstrates an intraparenchymal hemorrhage. Despite appropriate treatment, the patient dies. A postmortem biopsy of her left adrenal gland is shown below:

A cross-section of a medical specimen shows tissue with areas of redness and a distinct white, opaque mass in the center, set against a dark background.
Image reproduced from Wikimedia Commons

This patient most likely also experienced which of the following symptoms?

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