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A 51 y/o woman develops frontal headaches over a period of 4 months. She has increasing apprehension and feeling of impending doom. During a witnessed episode, she sweats profusely, and has heart palpitations. and develops a coarse tremor. Her blood pressure rises to 220/140. What is the most likely diagnosis?
A. Pheochromocytoma
B. Panic attack
C. Generalized anxiety disorder
D. Carcinoid syndrom.
E. Chronic hypertension
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A??! B??? I feel dizzy. again, if you are not sure, pick the first.
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if ther was no this toomuch bp i wd have gone for panic attack with suuporting agorphobia
if there were anxieties once again without hypertensive urgency iwd gone forGAD.
IF it had facial flushing bronchospasm diarrhea skin change i wdhave gone for carcinoid
chronic hypertension clinches it but he is getting it now and didnot see iany past hx
if you have given hypertensive urgency i wd have accepted that
so q is classical and ans as well is classical.
tose ppp
p pressure headache
p palpitatoion
pallor
persistent or periodic hypertension
perspiration
pulse rati is racing
hey friend dont be confused here with 5 ps of ac arterial obstruction
investigate this pt with urinary vma and catacholamine and do a ctt
first step admit and control bp but careful la dont give beta before alpha
now you i know that u know
ans is phaeochromocytoma
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for sure A. Pheochromocytoma
do not go to
B. Panic attack becuase there is nothing in the q context direct you towards anycaind of fear.
djyoti your explination is more than enough...thanks
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A. pheochromocytoma is the correct answer.Alibism
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good Q & A, Alibi & Djyoti. Thanks
