The case discussion this week in NEJM is renal centric. or one might even say Endo centric or HTN specialist centric!
Pheochromocytoma is a diagnosis that is hard to make, often thought about but never confirmed.
It is a popular diagnosis that medical students talk about , asked on the boards but we never see it
Fortunately, I have seen few cases of it and its clearly a tough diagnosis but the presentation is always different.
This entity can present to you in many shapes and sizes. Be aware and take a look at this nice article that talks about the many facets of a pheochromocytoma!
http://www.ncbi.nlm.nih.gov/pubmed/19242899
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