A 25-year-old woman admitted for hypertensive crisis. In the hospital, blood pressure is labile and responds poorly to antihypertensive therapy. The patient complains of headache, palpitations and diaphoresis Which of the following is the most likely diagnosis?
سؤال مجاني 7 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Pheochromocytoma.
Labile hypertension resistant to treatment with the triad headache, palpitations and diaphoresis points to pheochromocytoma. Renal artery stenosis, Conn syndrome and coarctation cause sustained (not paroxysmal) hypertension without adrenergic spells.
ليش كل خيار صح أو غلط
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A
ليش صح
Episodic severe hypertension resistant to treatment, pounding headache and sweating, with palpitations, are the classic pheochromocytoma picture.
✓ Adrenal summary.pdf · p. 7 -
B
ليش غلط
Renal artery stenosis raises renin and is assessed by a renal artery bruit; it is not a catecholamine-driven attack of headache, palpitations and sweating.
✓ 7• Hyperaldosteronism [Notes].pdf · p. 2 -
D
ليش غلط
Coarctation of the aorta causes secondary hypertension via low renal perfusion and RAAS activation, not catecholamine-driven spells of headache, palpitations and sweating.
✓ Hypertension and hypotension.pdf · p. 2 -
E
ليش غلط
Primary hyperaldosteronism presents with hypertension (often otherwise asymptomatic), headache, fatigue, weakness and hypokalemia-related polyuria; labile crises with palpitations and sweating are not among its features.
✓ Step Up To Medicine 6th Edition 2024 (Adrenal).pdf · p. 8
- المصدر
- Adrenal summary.pdf · p. 7
8• Pheochromocytoma [Notes].pdf · p. 4 - المحاضرة
- Pheochromocytoma · Endocrinology · Module B
- ظهر في
- Endo bank