<prompt> 13-year-old boy presented with complaints of episodes of headache, abdominal pain, palpitations, excessive sweating and dizziness. His mother also told that his weight is not gaining . On examination he is hypeensive, and tremors are present. What is the likely cause of childs condition?Diabetes mellitusHysterical fainting spellsPheochromocytomaHypothyroidism  <response>: Clinical findings so Pheochromocytoma. Pheochromocytomas: catecholamine-producing tumors that arises from chromaffin cells of abdominal sympathetic chain Peri adrenal area thoracic cavity. These tumors may arise sporadically or be inherited as features of MEN 2 or von Hippel- Lindau VHL disease or Neurofibromatosis More likely to be BL than adults CF: Episodes of palpitation, headache, and profuse sweating classic triad with dominant sign of Hypeension. Diagnosis : increase urinary VMA Rx: surgical removal Pre- operative alpha blockade with prazosin 