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By Inessa Yurtsev RN graduated in 2008 from SFSU with Bachelor degree in nursing. I work at Kaiser Santa Clara hospital on medical surgical floor. I plan to go to Grad school
Daniel S Kohane, Julie R Ingelfinger, Katherine Nimkin, Chin-Lee Wu
Presentation of Case. A nine-year-old girl was admitted to this hospital because of headaches, enuresis, recent visual changes, and vomiting. Intermittent frontal headaches began 18 months before admission, occurring most often during physical activity, but occasionally in the early morning,..
May 26, 2005: New England Journal of Medicine
Karel Pacak
Pheochromocytomas are rare neuroendocrine tumors with a highly variable clinical presentation, but they most commonly present as spells of headaches, sweating, palpitations, and hypertension. Patients with pheochromocytoma may develop complicated and potentially lethal cardiovascular and other complications, especially in the setting of diagnostic or interventional procedures (e.g. upon induction of anesthesia or during surgery). The serious and potentially lethal nature of such complications is due to the potent effect of paroxysmal release of catecholamines...
November 2007: Journal of Clinical Endocrinology and Metabolism
William F Young
The clinical presentations of the patient with pheochromocytoma -- a rare endocrine neoplasm -- include adrenal incidentaloma, hypertensive paroxysms, sustained apparent polygenic hypertension, hypertension in pregnancy, and hypertensive crisis induced by anesthesia. Although when undiagnosed a pheochromocytoma can be lethal, it can usually be cured with surgery. Biochemical documentation with measurements of fractionated metanephrines and catecholamines should precede imaging studies. Abdomen and pelvis computed imaging is usually the first imaging test...
December 2007: Reviews in Endocrine & Metabolic Disorders
T Zelinka, O Petrák, H Turková, R Holaj, B Strauch, M Kršek, A B Vránková, Z Musil, J Dušková, J Kubinyi, D Michalský, K Novák, J Widimský
Excess of catecholamines in pheochromocytoma is usually accompanied with classical symptoms and signs. In some cases, severe cardiovascular complications (e. g., heart failure, myocardial infarction) may occur. We performed a retrospective analysis focused on the incidence of cardiovascular complications (classified as follows: arrhythmias, myocardial involvement or ischemia and atherosclerosis, cerebrovascular impairment) before the establishment of diagnosis of pheochromocytoma among 145 subjects treated in our hospital...
May 2012: Hormone and Metabolic Research, Hormon- und Stoffwechselforschung, Hormones et Métabolisme
Achille C Pessina, Valeria Bisogni, Ambrogio Fassina, Gian Paolo Rossi
CASE REPORT: A young patient presented with a history of resistant arterial hypertension, associated with disabling symptoms. He was subjected to an enormous number of tests to identify a pheochromocytoma that was never found. He was eventually discovered to make factitious use of amphetamine to mimic this condition in order to gain medical attention. Munchausen syndrome was thus diagnosed. The patient was discharged and was lost to follow-up until he presented again in 2012 for 'resistant hypertension' in our outpatient clinic...
July 2013: Journal of Hypertension
Alberto Mazza, Michela Armigliato, Maria Cristina Marzola, Laura Schiavon, Domenico Montemurro, Giorgio Vescovo, Marco Zuin, Sotirios Chondrogiannis, Roberta Ravenni, Giuseppe Opocher, Patrick M Colletti, Domenico Rubello
Pheochromocytoma (PH) and paraganglioma (PG) are neuroendocrine neoplasms arising from chromaffin cells of the adrenal medulla and the sympathetic ganglia, respectively. Although are unusual cause of hypertension (HT) accounting for at most 0.1-0.2 % of cases, they may lead to severe and potentially lethal hypertensive crisis due to the effects of the released catecholamines. However, both PH and PG may be asymptomatic as ~30 % of subjects are normotensive or have orthostatic hypotension and in these cases the 24 h ambulatory blood pressure (BP) monitoring is an important toll to diagnose and treat HT...
April 2014: Endocrine
Raluca Trifanescu, Mara Carsote, Andra Caragheorgheopol, Dan Hortopan, Anda Dumitrascu, Mariana Dobrescu, Catalina Poiana
ABSTRACT: <AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Secondary endocrine hypertension accounts for 5-12% of hypertension's causes. In selected patients (type 2 diabetes mellitus, sleep apnea syndrome with resistant hypertension, sudden deterioration in hypertension control), prevalence could be higher. OBJECTIVES: To present etiology of endocrine secondary hypertension in a series of patients younger than 40 years at hypertension's onset. MATERIAL AND METHODS: Medical records of 80 patients (39M/41F), aged 30...
June 2013: Mædica
Samuel M Zuber, Vitaly Kantorovich, Karel Pacak
Pheochromocytoma is a tumor of the chromaffin cells in the adrenal medulla and sympathetic paraganglia, which synthesizes and secretes catecholamines. Norepinephrine, epinephrine, and dopamine all act on their target receptors, which causes a physiologic change in the body. High circulating levels of catecholamines can lead to severe hypertension and can have devastating effects on multiple body systems (eg, cardiovascular, cerebrovascular), and can lead to death if untreated. Although surgical treatment represents the only modality of ultimate cure, pharmacologic preoperative treatment remains the mainstay of successful outcome...
June 2011: Endocrinology and Metabolism Clinics of North America
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