A 60-year-old woman was found to be restless 3 hours after a surgical procedure for colonic malignancy. Her respiratory rate is 26/min, pulse rate is 108 bpm and blood pressure is 180/110 mmHg. Further history revealed that she has had a history of paroxysmal palpitations, flushing, episodes of sweating and headaches for years. What is the most likely diagnosis explaining these findings ?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: B. Pheochromocytoma
Years of paroxysmal palpitations, sweating, headaches and flushing with a hypertensive tachycardic crisis after abdominal surgery fits pheochromocytoma; surgery and abdominal manipulation trigger catecholamine release. Cushing and Conn do not cause episodic adrenergic attacks.
ليش كل خيار صح أو غلط
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A
ليش غلط
Cushing syndrome shows central obesity, moon face, purple striae and easy bruising, not years of paroxysmal attacks of palpitations, flushing and sweating.
✓ Adrenal summary.pdf · p. 2 -
B
ليش صح
Surgery or abdominal manipulation compresses an adrenal tumour and releases catecholamines, giving a hypertensive crisis in someone with paroxysmal palpitations, sweating and headaches.
✓ 8• Pheochromocytoma [Notes].pdf · p. 4 -
C
ليش غلط
Primary hyperaldosteronism (Conn syndrome) presents with hypertension, often otherwise asymptomatic, plus headache, fatigue, weakness and hypokalemia-related polyuria; paroxysmal palpitations, flushing and sweating are not among its features.
✓ Step Up To Medicine 6th Edition 2024 (Adrenal).pdf · p. 8 -
D
ليش غلط
Cushing disease is an ACTH-secreting pituitary adenoma causing cortisol excess; it is not a catecholamine-driven episodic syndrome.
✓ Adrenal disorders (2).pdf · p. 7
- المصدر
- Adrenal summary.pdf · p. 7
8• Pheochromocytoma [Notes].pdf · p. 4 - المحاضرة
- Pheochromocytoma · Endocrinology · Module B
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- Endo bank