Your patient is a 45 year old female with marfanoid features and a history of neuromas. She comes to your clinic with a clinical history of a rapidly enlarging neck mass and hard fixed lymph nodes on the right side of the neck measuring up to 2.5 cm in diameter. She also complains of severe diarrhea and a 20 pound weight loss over the past two months. In addition she says that she has severe headaches and diaphoresis.
Her supine BP is 220/140 which drops to 150/100 when she stands up.
You would now order:
c. Long term anti-hypertensive therapy
d. Laboratory tests including Catecholamines
e. Chest X-rays including Mediastinum
*Note: Slides to this case were contributed by Viviana Acheen MD , Louisville, Ky