Author: Mohammed Farozan Khan / Editor: Steve Corry-Bass / Codes: EnC1, OncC1, OncC3, SLO1, SLO2 / Published: 08/05/2024

You are working a busy emergency department (ED) shift and your next patient is a 45-year-old male presenting with complaints of headache, sweating and palpitations.

On further questioning patient reports these symptoms are often paroxysmal and have been occurring many times a month now.

On examination, the patient’s blood pressure is elevated (220/120 mmHg) with profound tachycardia, pallor and a feeling of impending doom. The patient has a history of hypertension, type 2 diabetes mellitus and Von Hippel-Lindau syndrome. The patient is otherwise healthy, and there is no significant smoking or recreational drug history.