192) A 26-year-old man is evaluated for a history of recurrent headaches and palpitations for the past one month. At this time, he has no headache or palpitations. He denies any chest pain, dizziness or shortness of breath. His past history is unremarkable except for fleshy nodules over his trunk that have been present since adolescence and have been increasing in number. On physical examination, heart rate is 102/min; blood pressure is 168/100 (Lying) and 138/90 ( Standing). Skin examination reveals freckling in the inguinal region and several fleshy tumors on his back as shown in the picture:
An Electrocardiogram reveals Sinus Tachycardia. The most appropriate next step in management of this patient?
a. Biopsy of the tumors
b. Plasma Metanephrines
c. CT Scan of the abdomen
d. Intravenous fluids
e. 24-Hour holter monitoring
c
B: plasma metanephrine to confrim pheo in this patient of NF1
c
Its NF1 ans: ct abdo.
Its NF1 ans: ct abdo.
c
ct for the abdomen ..
What is wrong with doing CT first? What are Adrenal Incidentalomas?
B
Bbbbbbbbb bec his palpitation and HTN of pheochromocytoma associated with NF