RT Journal
A1 Huan L, Jaffe BM, Kandil E
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD August 1
VO 146
IS 8
SP 985
OP 985
DO 10.1001/archsurg.2011.189-a
UL http://dx.doi.org/10.1001/archsurg.2011.189-a
AB 
A 21-year-old man had a 2-year history of persistent hypertension, poorly controlled with doxazosin mesylate and nicardipine hydrochloride. He reported episodic diaphoresis and headaches at rest on a daily basis. The patient was otherwise healthy with no neurological symptoms, palpitations, constipation, abdominal pain, or other gastrointestinal complaints. He also denied fever, weight loss, cough, hemoptysis, bone pain, or other symptoms suggestive of metastatic disease. His physical examination was normal and he had no palpable neck masses. His plasma electrolyte levels and urinalysis results were normal during routine visits to his primary care physician. He had a normal electrocardiograph and no apparent cardiac anomalies.