Exam questionKROK 2Medicine · 2015
A 32-year-old woman complains of dizziness, headache, palpitation, tremor. For the last several months she has been under outpatient monitoring for increased arterial pressure. Recently such attacks have become more frequent and severe. Objectively: skin is covered with clammy sweat, tremor of the extremities is present. Heart rate - 110/min, BP - 220/140 mm Hg. Heart sounds are weakened. In blood: WBCs - 9,8 × 109/l, ESR - 22 mm/h. Blood glucose - 9,8 millimole/l. What disease is the most likely cause of this crisis?
Answer options
- Pheochromocytoma
- Essential hypertension
- Preeclampsia
- Diabetic glomerulosclerosis
- Primary hyperaldosteronism
Correct answer
Pheochromocytoma
Explanation
Extremely high AP and increase in glucose are typical for tumors of the adrenal gland, Pheochromocytoma. The signs and symptoms are those of sympathetic nervous system hyperactivity, with three classic signs: diaphoresis (excessive sweating), headaches, and elevated heart rate, including Skin sensations, Flank pain, Elevated blood pressure, weight loss, among many others.
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