A patient presented with headache and flushing He has a family history of his relative having died of a thyroid tumour. The investigation that would be required for this patient would be -: (A) Chest X-ray, (B) Measurement of 5 HIAA., (C) Measurement of catecholamine, (D) Intravenous pyelography
Answer is C. This patient is having MEN syndrome more specifically MEN type 2, which includes.
Medullary carcinoma of thyroid and
Pheochromocytoma
Headache and flushing are manifestation of pheochromocytonia which can be diagnosed by measuring catecholamine level in urine or blood