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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:1314-1320 April 26, 2001 Number 17
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Case 13-2001— A 19-Year-Old Man with Bouts of Hypertension and Severe Headaches
Paul R. Conlin, and William C. Faquin

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Presentation of Case

A 19-year-old man was admitted to the hospital because of headaches and hypertension.

The patient had been well until two years earlier, when he began to have episodic mild headaches that resolved spontaneously. Two months before admission, the headaches became much more severe and frequent, occurring almost daily, and were accompanied by throbbing chest pain, sweating, dizziness, palpitations, and a greenish pallor. The episodes occurred during both waking hours and sleep and were often heralded by an epigastric "uneasiness" that radiated to the head.

Four weeks before admission, hypertension was diagnosed. A computed tomographic (CT) scan of the head, obtained . . . [Full Text of this Article]

Differential Diagnosis

General Evaluation of the Patient's Hypertension

Hyperadrenergic and Hyperadrenergic-like States

Clinical Features of Pheochromocytoma

Laboratory Diagnosis of Pheochromocytoma

Localization of the Tumor

Treatment of Pheochromocytoma

Clinical Diagnosis

Dr. Paul R. Conlin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


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