A patient presented with headache and episodes of hypertension. In between the episodes he was found to be normal. His urinary VMA levels were found to be raised. The diagnosis is: (A) Carcinoid syndrome, (B) Pheochromocytoma, (C) Small cell carcinoma, (D) Addison's disease
Answer is B. (B) Pheochromocytoma # Clinical features of Phaeochromocytoma: MC symptoms, in order of frequency, are: Headache palpitation, sweating (seen in >50%), vomiting, weakness & pallor (20-40% of patients) i.e. symptoms of adrenal overdosage. Dyspnoea. weight loss, flushing (<20% patients) Paroxysmal attack may vary from a few minutes to some hours. BP may be very high & hypercalcaemia present