Pheochromocytoma - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@nelo4real]

Dear Dr Paul, I just want to say thank you for taking the time to put this incredible resource on UA-cam. You are an answer to my prayers. God bless you.

[@kccourt6910]

Hi- if this helps any, I just had a very massive pheochromocytoma removed...Right adrenal and 16.5cm...7 yrs I was diagnosed for everything under the sun...The sweating and heart palpitations were brutal...I would faint constantly and be brought to the ER...Never once in the 7 yrs was I my blood pressure high...In fact, mine was so so extremely low that they wondered how I drove to
the ER and walked in there...def don’t remember it...They did a CT and confirmed and sent me to Mayo for the surgery...I wish you awesome Med students could help me figure out more on what is happening now that it’s been removed and began a whole new set of issues with all the newer and fresher info on rare tumors....So many bad scary things are happening that a don’t even know what to address first...Feel like my life is slowly going away because nobody is able to link certain issues with these tumors...Ugh, it’s a massive living nightmare 😔

[@kdgrizz9170]

What kind of symptons?

[@mysticartist6936]

Yes & there's a Paraganglioma FB group in case. I am a member of that group.

[@gulajawa2]

Hi KC Court, I was diagnosed in 2016 with a pheochromocytoma after a very troublesome pregnancy in which my bloodpressure continued to be high after giving birth, where that was not expected.
After removal I started having new different symptoms, like joint pain everywhere, restless legs sydrome like symptoms, concentration problems. In the morning I feel stiff like a grandma and I go to bed with musclepain as if I went to the gym.
I was curious what are your symptoms after the removal of the tumor?

[@Watjenu]

Wow I’ve had my tumor over 10 years 2specialist & they just brush it off as nothing!& it’s the size of a egg,I have every symptom of it too

[@rainshelton9434]

How are you?

[@DrDinooshDeLivera]

Thank you Dr Bolin, really great, concise lectures!

[@nellyhoffman6194]

Thanks Dr paul ... you are the BEST TEACHER :)

[@bomhayhay]

Thank you. You've definitely explained it way better so thank you

[@user-do5hg6vr7e]

Good explanation sir.Thank you.

[@gabrielincognito8855]

Why is it called pheochromocytoma? Why not adrenoma or epinefroma or other 100 names associated with the sympatethic system.

[@sruthibaburajt406]

It arise from chromaffin cells

[@kccourt6910]

pheo meaning “dark” as it makes the cells darken and chromo because it’s in the chromaffin cells..

[@danr5105]

Thanks Doc. I have been dealing with severe hypertension 200+/130 and A-fib up to 250 pulse. Had an ablation, the real high BP came post ablation. Scheduled for MRA tomorrow,urine today. CT in the ER 2 days ago did not see it, they said it was not possible to use contrast. ER did not stabilize me at all.

[@terrishelton1514]

What if you have tumor noted on a CT scan but not on MRI

[@mysticartist6936]

As a RN who had an adrenalectomy for possible pheo I can tell you I knew back in 2006 was wrong and fidnt get a surgeon to help until 2009. Now in 2020 all those horrible symptoms ard back save a less extreme b/p issue since beginning Metatoprol XL, but oddly I'm still having rpisodes feeling like adrenalin surges, extreme flushing and nausea, migraines which sumatriptin isn't helping much, overall feeling of unwellness, nightsweats, and episodes can be triggered by bladder/bowel movements. Alot of flank pain, tender RLQ, tinnitus, my pulse thumping in my ears so loudly I can tell you my pulserate. I feel like I'm going to die. I am in Mobile Al. PLZ tell me EXACTLY what the nuclear scans are (MIBG?) Or what? My Dr wants a website w/ data and papers. 😒So sick of feeling sick. Now I have huge purpura which break and bleed. Pro times a bit slow. I have malaise now makes 90 days straight.

[@mistimaxwell1940]

Did you ever get answers?? Mine sound like a mirror to you!

[@riminimachunga476]

Kindly explain the reason why B-blockers are dangerous as first line treatment.
Thanks.

[@sherry4327]

Unopposed alpha-adrenergic receptor stimulation can precipitate a worsening hypertensive crisis. Non-cardioselective BBs have been associated with paradoxic episodes of hypertension thought to be secondary to incomplete alpha blockade.

[@thecerebrum.]

Does patient needs to do chemotherapy?

[@mohiuddinalfarra5440]

thank you.

[@timangelini143]

I have been diagnosed with this... oh god

[@kocho4242]

What are side effects of MIBG?

[@Eyadatm90]

thank youuuuuuuuuuuuuuuuuuu

[@FurifiedFreestyle]

aboot