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E4C3LindaV1, alternative hypothesis Pheo but hand tremors and lack of episodic symptoms don't fit low probability and if her blood pressure is normal I would not pursue, alternative hypothesis: anxiety or other psychiatric diagnosis alternative hypothesis Pheo but hand tremors and lack of episodic symptoms don't fit, Which in this age group is most likely Thyrotoxicosis alternative hypothesis: anxiety or other psychiatric diagnosis, otherwise healthy symptom complex of sweating, tremors, palpitations, weight loss and anxiety, H1: she's probably hyperthyroid young woman