مريضة تأتيها نوبات صداع شديد وتعرق وخفقان، وضغطها أثناء النوبة ٢٢٠/١٢٠ ثم يرجع طبيعياً. أي تشخيص يُشتبه به؟

A woman has episodes of severe headache, sweating and palpitations, with BP 220/120 during attacks that then returns to normal. Which diagnosis is suspected?

1. Ordinary essential hypertension
2. Hypothyroidism
3. Phaeochromocytoma
4. Panic attacks without any testing

Answer: C) Phaeochromocytoma. Recurrent headache, sweating and palpitations with paroxysmal severe hypertension suggest a catecholamine-secreting phaeochromocytoma. Plasma or urine metanephrines are measured, and a beta-blocker is not given alone before alpha-blockade.