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A 44-year-old male patient presents in a hypertensive crisis.

/in /by

A 44-year-old male patient

presents in a hypertensive crisis. The blood pressure is 240/136 mm Hg, pulse is 128 b.p.m. and the patient is complaining of a severe, pounding headache. His skin is diaphoretic and he is visibly tremulous. The first diagnostic study to evaluate the suspected diagnosis should be a:

A.

24 hour urine for catecholamine metabolites

B.

Serum epinephrine and metanephrines

C.

T scan of the abdomen

D.

MRI of the abdomen

 
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