A 39-year-old woman comes to the office complaining of episodic anxiety, headache, and palpitations.

A 39-year-old woman comes to the office complaining of
episodic anxiety, headache, and palpitations. She states that without dieting,
she has lost 15 pounds over the past 6 months. The physical examination is
normal except for a blood pressure of 200/100 mm Hg and a resting pulse rate of
110 bpm. The chart review shows that prior blood pressures have always been
normal, including one 6 months ago. A diagnosis of pheochromocytoma is
entertained.

Questions

A. What other features of the history should be elicited?
Why is family history important?

B. What laboratory tests should be
View complete question »

A 39-year-old woman comes to the office complaining of
episodic anxiety, headache, and palpitations. She states that without dieting,
she has lost 15 pounds over the past 6 months. The physical examination is
normal except for a blood pressure of 200/100 mm Hg and a resting pulse rate of
110 bpm. The chart review shows that prior blood pressures have always been
normal, including one 6 months ago. A diagnosis of pheochromocytoma is
entertained.

Questions

A. What other features of the history should be elicited?
Why is family history important?

B. What laboratory tests should be ordered, and what results
should be anticipated? If the laboratory tests are nondiagnostic but suspicion
is high, what other test can be done?

C. What is the pathogenesis of the symptoms of anxiety,
headache, palpitations, and weight loss in pheochromocytomas?

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