Hi
It may be of some use - many decades ago we had a patient with a
malignant pheochromacytoma which had a metastasis in one scapula -
whenever he lay down it almost blew his head off. It may have been
reported in the literature by my colleagues - late 1960s
regards
(Prof) Stewart Bryant
Southern Cross Pathology
Monash Medical Centre
246 Clayton Road
CLAYTON VIC 3168
phone (03) 9594 4310
fax (03) 9594 6061
mobile 04 1125 2918
email: [log in to unmask]
http://www.scpath.com.au
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Mohmed Ashmaig
Sent: Thursday, 20 February 2003 2:04 AM
To: [log in to unmask]
Subject: Hypertension at nights only
Dear all,
It might be an interesting case.
We have a military man 46 years old, physically &
medically very well and he look very happy and not
under any stress. His chemistry and hematology tests
are all normal. The cardiac stress test normal. His
blood pressure during the day 110/70 mHg, but start
rising from 08:00 PM when the time around 11:00 PM
start getting headache with blood pressure of 180/100
mHg, the following day get back to normal, he is on
Zestrine 10 mg/day to control his blood pressure.
24 hours urine Dopamine, Norepinephrine, Epinephrine,
all normal.
Any suggestion of what we can look into or investigate
will be really appreciated.
Many thanks in advance for all
Mohmed Ashmaig
Riyadh Military Hospital
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community working in clinical biochemistry.
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