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Emergency Medicine Journal 2007;24:672-673; doi:10.1136/emj.2007.049569
© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine

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EMERGENCY CASEBOOK

Phaeochromocytoma—"the great mimic": an unusual presentation

Louisa Mitchell1, Fionn Bellis2

1 Emergency Department, Royal Devon and Exeter Hospital, Exeter, Devon, UK
2 Emergency Department, Northern Devon Healthcare Trust, Barnstaple, Devon, UK

Correspondence to:
Correspondence to:
Dr Louisa Mitchell
Emergency Department, Royal Devon and Exeter Hospital, Wonford, Exeter, Devon, UK; louisa{at}doctors.net.uk


ABSTRACT
We report the case of a patient who presented to the emergency with the common symptoms of chest pain and dyspnoea and who was subsequently found to have the rare diagnosis of a phaeochromocytoma. We highlight the need to maintain a high index of suspicion of the various differential diagnoses in any case presentation and the importance of trusting clinical intuition. We comment on the benefit of the use of emergency ultrasound.



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Primary Survey
Geoff Hughes
Emerg. Med. J. 2007 24: 609. [Extract] [Full Text] [PDF]






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© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine