Diferentiate?

[IMG SURVIVOR]

How can you differentiate
A- Pheocromocytoma
B- General Anxiety
C- Panic Attack
D- Hyperthyroidism

from each other?

[hunteradam07]

Originally Posted by IMG SURVIVOR

How can you diferentiate
A- Pheocromocytoma
B- Genral Anxiety
C- Panic Attack
D- Hyperthyroidism

from each other?

Pheo by urine analysis would have an increase in VMA and the BP would be in the 200/something. Oh make sure you rule out MEN IIA (hyperparathyroid, medullary CA, and Pheo) and IIB (Pheo, marfanoid, medullary CA).
Hyperthyroid must do a thyroid panel plus all the sign and symtomps (heat intolerance, exopthalmus, constipation, etc...).
General anxiety would not have that high of BP, while panic attack i think would lead to hypervent and lOC. Seem to be very easy to differentiate from the other twos, plus a good HPI would rule out these twos. At least that is my two cents.