Pheochromocytoma physical examination: Difference between revisions

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{{Pheochromocytoma}}
{{Pheochromocytoma}}
{{CMG}}
{{CMG}} {{AE}} {{AAM}}


==Overview==
==Overview==
==Physical Examination==
==Physical Examination==
*[[Elevated heart rate]]
Common physical exam findings include:
*[[Elevated blood pressure]], including paroxysmal (sporadic, episodic) high blood pressure, which sometimes can be more difficult to detect; another clue to the presence of pheochromocytoma is [[orthostatic hypotension]] (a fall in [[systolic blood pressure]]greater than 20 [[mmHg]] or a fall in [[diastolic blood pressure]] greater than 10 [[mmHg]] on making the patient stand)
*[[Palpitation]]
*Elevated blood glucose level (due primarily to catecholamine stimulation of [[lipolysis]] (breakdown of stored fat) leading to high levels of [[free fatty acids]] and the subsequent inhibition of glucose uptake by muscle cells. Further, stimulation of beta-adrenergic receptors leads to glycogenolysis and gluconeogenesis and thus elevation of blood glucose levels).
*[[Hypertension]], including paroxysmal (sporadic, episodic) high blood pressure, which sometimes can be more difficult to detect.
*[[Orthostatic hypotension]]
*[[Hyperglycemia]]


A pheochromocytoma can also cause resistant [[arterial hypertension]]. A pheochromocytoma can be fatal if it causes [[malignant hypertension]], or severely [[high blood pressure]]. This hypertension is not well controlled with standard blood pressure medications.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Endocrinology]]
[[Category:Endocrinology]]
{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
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Revision as of 13:59, 2 September 2015

Pheochromocytoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

Physical Examination

Common physical exam findings include:


References

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