Pseudopheochromocytoma (Severe Paroxysmal Hypertension)

Is the patient's blood pressure significantly lower between episodes?

• chest pain?

• a feeling of lightheadedness?

• shortness of breath?

• weakness?

• flushing?

• nausea?

• sweating (diaphoresis)?

• headache?

• palpitations?

Is the patient experiencing moderate to severe impairment as a result of the condition?

Does the patient feel exhausted afterwards?

Are plasma epinephrine levels during an attack normal or only mildly increased?

Is there a significant increase in blood pressure during phase IV of a Valsalva maneuver?

• stimulant abuse?

• panic attacks?

• medications?