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C1LydiaV2, Hypothesis 2 pheochromocytoma states Hypothesis 3 essential hypertension with reaction to medication, But if it started at a really young age, like uh you know in the thirties or something like that or younger, you have to think of what are talked secondary causes of hypertension states H2 - commonest cause essential hypertension, H2 - commonest cause essential hypertension states other causes: renal artery stenosis (H3), pheochromocytoma(H4), adrenal adanoma (H5), Chron's syndrome(H6), thyrotoxicosis(H7), diabetes unlikely because of sweating and flushing state and sets belief -75%, change working hypothesis: pheochromocytoma states risk of a hypertensive crisis?, Urinary Metabolites / Vanillylmandelic Acid (VMA) 24 hr - Positive - 120 micromol / 24 hr states and orders Urinary Catecholamines / Free - 1560 mmol / 24 hr, Hypothesis 1 Grave`s disease states Hypothesis 2 pheochromocytoma, risk of a hypertensive crisis? states looking for toxicology tests, Urinary Catecholamines / Free - 1560 mmol / 24 hr states worrying about medication precipitating condition, eliminating possibility of drug abuse selects submitting Hypothesis Pheochromocytoma - 100%