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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
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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