Mrs. James appeared at the clinic complaining of extreme nervousness and sweating, saying that she could feel and hear her heart thumping when she tried to sleep at night. Laboratory testing revealed hyperglycemia and increased basal metabolic rate. Although she also proved to have high blood pressure, tests of thyroid function were normal. What is your diagnosis? What treatment should be used?
What will be an ideal response?
The diagnosis is hypersecretion of catecholamines, sometimes arising from a rare chromaffin cell tumor called a pheochromocytoma. Treatment is removal of the tumor and/or irradiation of the adrenal medulla.
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Fill in the blank with correct word.