Open Ur Mind
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Open Ur Mind| m_thebrave |
 Posted: September 18, 2008 11:27 am
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Palpating...  Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007  |
A 19 years old female is seen in the emergency department with symptoms of severe periodic headaches, sweating, nausea & vomiting….her blood pressure is on presentation is 230/130, with heart rate of 92. On standing the patient has BP of 200/100, with a heart rate of 130. On ophthalmologic exam she has mild blurring of optic disc without hemorrhage. The examination is otherwise normal. SO NOW
what is ur Dx? |
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| Samer Q N |
Posted: September 18, 2008 12:44 pm
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Inspecting... Group: Graduated Doctors Posts: 68 Member No.: 54 Joined: August 31, 2005 |
Headache, sweating, nausea and vomiting with a very high blood pressure in a periodic manner conforms with Pheochromocytoma although about 60% patients with pheochromocytoma have persistent hypertension but even those suffer from crises and exacerbations.
The postural drop in blood pressure is due to blunted sympathetic reflexes or due to dminished plasma volume caused by the profuse sweating and vomiting. I would appreciate it if someone can elaborate on the fundoscopic exam. Cheers. |
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| bloodstone |
Posted: September 18, 2008 04:08 pm
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Diagnosing... Group: Graduated Doctors Posts: 1597 Member No.: 99 Joined: September 26, 2005 |
I think it's pheochromocytoma...
thx for the cases&keep up refreshing our mind..  |
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| m_thebrave |
 Posted: September 22, 2008 11:37 am
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Palpating... Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007 |
yes...u r right...its pheochromocytoma...
i really enjoy the medical discussions...hope all the friends will participate even if they dont sure of their Dx.. the medicine is amatter of possibility.. thanx 4 u ... Dr.Sara....Dr.Samer |
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| Ahmed Al-Kaisy |
Posted: September 24, 2008 02:37 pm
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Taking History... Group: Graduated Doctors Posts: 32 Member No.: 1373 Joined: December 28, 2007 |
hi dear,
thanks for ur nice sharing...as i see all the finding can be explained by the elevated catecholamines level but i couldn't explain the ophthalmologic finding!! can u tell how did this happened? thanks.. |
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| m_thebrave |
Posted: September 24, 2008 02:52 pm
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Palpating... Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007 |
u can find the answer inside mohamed taib brain...
really miss u ahmed |
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