A 34-year-old woman presents with recurrent episodes of pounding headache, diaphoresis, and palpitations lasting 20-30 minutes. During an acute episode, vital signs show BP 210/120 mmHg, HR 118/min, RR 22/min, and temp 37.2°C. Between episodes she feels completely well with normal BP readings. Serum electrolytes and renal function are normal. Chest pain is notably absent. She takes no medications. Which of the following is the most likely diagnosis?
- A)Primary hyperaldosteronism
- B)Hyperthyroidism
- C)Panic disorder
- D)PheochromocytomaGABARITO
- E)Cushing disease
Explicação
Pheochromocytoma is a catecholamine secreting tumor of chromaffin cells in the adrenal medulla. It classically causes episodic headache, sweating, palpitations, and severe paroxysmal hypertension. The dramatic, intermittent attacks are much more suggestive of ... Ver explicação completa e trilha adaptativa →