Investigation of choice in case of a pt. with episodic hypertension, headache and thyroid nodule -: (A) Urinary HIAA, (B) Urinary catecholomine and aspiration of nodule, (C) Thyroid function test only, (D) Urinary basic amino acid metabolite
Answer is B. This pt is having MEN type II syndrome which is characterized by
Pheochromocytoma and
Medullary carcinoma of thyroid (MCT)
Urinary catecholamines are increased in pheochromocytoma
Aspiration of nodule will show amyloid material (seen in MCT)