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Workup for an individual with paroxysmal hypertension reveals a pheochromocytoma. However, an abdominal/pelvic CT identified bilateral nephrolithiasis as well as an adrenal medulla mass. Further questioning reveals that the patient complains of muscle weakness and constipation. Your next step is to order a:
• A. Muscle biopsy
• B. MRI of abdominal/pelvis
• C. Renal ultrasound
• D. Thyroid ultrasound and fine needle biopsy
• E. Cardiac echo
 

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Yes that would be

D. Thyroid ultrasound and fine needle biopsy

nice question @DoctorF
 
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