Disease Information for Pheochromocytoma (Clinical Manifestations)
Adrenal Gland Chromaffin Paraganglioma, Adrenal Gland Chromaffinoma, Adrenal Gland Paraganglioma, Adrenal Gland Pheochromocytoma, Adrenal Medullary Paraganglioma, Adrenal Medullary Pheochromocytoma, Adrenal Pheochromocytoma, Chromaffin paraganglioma, Chromaffin paraganglioma (disorder), Chromaffin Paraganglioma of the Adrenal Gland, Chromaffin tumor, Chromaffin tumour, Chromaffinoma, Chromaffinoma (disorder), CHROMAFFINOMA MEDULLARY, Intraadrenal Paraganglioma, PARAGANGLIOMA MEDULLARY, PCC, Phaeochromocytoma, Phaeochromocytoma (disorder), Pheochromocytoma, Pheochromocytoma (disorder), Pheochromocytoma (morphologic abnormality), Pheochromocytoma adrenal, Pheochromocytoma syndrome, Pheochromocytomas
A usually benign, well-encapsulated, lobular, vascular tumor of chromaffin tissue of the adrenal medulla or sympathetic paraganglia; The cardinal symptom, reflecting the increased secretion of epinephrine and norepinephrine, is hypertension, which may be persistent or intermittent; During severe attacks, there may be headache, sweating, palpitation, apprehension, tremor, pallor or flushing of the face, nausea and vomiting, pain in the chest and abdomen, and paresthesias of the extremities; The incidence of malignancy is as low as 5% but the pathologic distinction between benign and malignant pheochromocytomas is not clear; (Dorland, 27th ed; DeVita Jr et al, Cancer: Principles & Practice of Oncology, 3d ed, p1298)<br>
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rule of tens: 10% bilateral,10%familial[MEN2],10% incidentaloma,10% malignant,10% extra-adrenal, 10% of seconday hypertension cases, 10% recurrence after resection<br>
[MKSAP13]
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Clinical Manifestations
- Signs & Symptoms
- Circumoral pallor
- A2 greater than P2 in child
- Accentuated A2 sound/cardiac
- Bounding pulse
- Brisk Carotid Upstroke
- Capillary Refill Time/CRT Abnormal
- Cardiac Symptoms/Signs
- Cardiomegaly/Heart dilatation
- Carotids forceful pulsations
- Chest Pain
- Chest pain, substernal/midline
- High blood pressure child
- High blood pressure/sign
- High blood pressure/transient/wide fluctuations
- Hyperdynamic circulatory status/signs
- Loud heartbeat/Forceful beat
- Low Blood Pressure
- Non-Pleuritic Chest Pain
- Orthostatic drop in blood pressure
- Palpitations/Skipped beats
- Regional pallor/vasospasm
- Signs of Poor Perfusion
- Systolic hypertension/diastolic normal
- Tachycardia/Fast heart rate
- Vasospasm of extremities/Signs
- White/blanching area discoloration
- Diaphoresis profuse/active sweating/acute
- Excess Sweating Children
- Hyperhidrosis/Chronic sweating excess
- Night sweats
- Sweating Excess Perspiration
- Excess Thirst in Children
- Abdominal Pain
- Chronic Diarrhea in a Child
- Constipation in Elderly
- Diarrhea and Weight Loss
- Excessive thirst/polydipsia
- Nausea
- Vomiting
- Weight loss in Elderly
- Renal Mass
- Hypertonia
- Sweating palms
- Weak/Weak as a kitten (symptom)
- Action Tremor
- Active reflexes
- Autonomic instability/Variable BP/HR
- Confusion/Disoriented
- Exaggerated physiologic tremor (14Hz)
- Excitement
- Headache
- Headache worse with valsalva/Bowel movement
- Headache, severe
- Headache, throbbing, vascular
- Hyperreflexia/DTRs increased
- Morning headaches
- Nocturnal Headache
- Paresthesias
- Seizures
- Tremor
- Tremor in Children
- Tremor in Elderly
- Tremor,fine
- Tremulousness
- Chest pain/non-cardiac
- Shortness of breath/SOB
- Chronic/recurrent anxiety
- Fearful/Afraid
- Psychiatric manifestations/problems/difficulties
- Volatility/wild mood swings
- Diuresis/Large urine volumes
- Kidney Mass
- Polyuria
- Polyuria and polydipsia
- Apprehensive patient/sign
- Body temperature/high setting
- Collapse/Prostration
- Ectomorph habitus
- Enervated/extreme acute fatigue
- Episodic symptoms/events
- Exertion/physical stress relapse/illness/complaint
- Fever
- Fever Febrile Possible
- Flu-Like Syndrome
- High body temperature
- Mucous membrane pallor
- Nervousness/excitability/hyperactive adult
- Pale with profuse sweating
- Pallor
- Restlessness/Anxiousness
- Spells/Episodes of weakness
- Thirst Increased
- Weakness
- Weakness non-neuromuscular/systemic
- Weight loss
- Blindness/sudden/unilateral
- Blurred vision
- Dimming vision/acute
- Flame hemorrhages/retinal exam
- Mydriasis/wide pupils
- Visual symptoms
- Clinical Presentation & Variations
- Disease Progression
- Course/Attacks
- Course/Attacks short-lived
- Course/Chronic disease crisis/flare/attacks
- Course/Chronic disorder
- Course/Chronic only
- Course/Paroxysmal
- Course/slow resolution of attack/hours
- Signs & Symptoms
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