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Surgery Miscellaneous 0b1afe89

A patient presented with headache and episodes of hypertension. In between the episodes he was found to be normal. His urinary VMA levels were found to be raised. The diagnosis is

A
Carcinoid syndrome
B
Pheochromocytoma
C
Small cell carcinoma
D
Addison's disease
High-Yield Explanation
(B) Pheochromocytoma # Clinical features of Phaeochromocytoma: MC symptoms, in order of frequency, are: Headache palpitation, sweating (seen in >50%), vomiting, weakness & pallor (20-40% of patients) i.e. symptoms of adrenal overdosage. Dyspnoea. weight loss, flushing (<20% patients) Paroxysmal attack may vary from a few minutes to some hours. BP may be very high & hypercalcaemia present

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