Sunday, 19 October 2014

Phaechromocytoma

Pheochromocytoma

Clinical findings of a pheochromocytoma: 6 P's ofPheochromocytoma
Pressure/Paroxysmal bursts
Pounding Pain (headaches)
Perspiration
Pallor
Panic
Palpitations

Rule of 10's:
10% familial (Men 2a, 2b syndromes)
10% bilateral
10% malignant
10% calcify
10% located outside the medulla (a common site is the bladder. If patient gets episodic hypertension with urination, think about this possibility)

Look for urinary VMA (breakdown of NE) and plasma catecholamines!

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