30/09/2023
Case
For medical students
A 35-year-old woman presents to an urgent care clinic complaining of anxiety, headache, sweating, and palpitations, all of which started 30 minutes ago. She says she has had several episodes like this in the past 2 months, but she attributed them to the stress she feels at work, where she is an event manager. Her blood pressure is 194/114 mm Hg, pulse 95/min and regular, respirations 16/min, and temperature 37.2°C (99.0°F). She shows the provider the printed result of a normal blood pressure she had taken at the local pharmacy 5 days ago. The family history is significant for thyroid carcinoma in her father. Which of the following is most likely in this patient?
A. Decreased hemoglobin
B. Increased urine metanephrines
C. Decreased TSH levels
D. Decreased C-peptide
E.Increased serum serotonin
