Question

The client has been diagnosed with pheochromocytoma. Which finding supports a diagnosis of pheochromocytoma? A. Malignant hypertension B. Anorexia C. Urinary frequency D. Bronze pigmentation of the skin

Short answer

Answer: Malignant hypertension.

Step-by-step solution

Option A: Malignant hypertension

Pheochromocytoma is known for causing a significant increase in the production of adrenaline and noradrenaline, which can lead to high blood pressure. In severe cases, this high blood pressure can become malignant hypertension, a very high blood pressure that can cause organ damage. Therefore, option A is a finding that supports a diagnosis of pheochromocytoma.

Option B: Anorexia

Anorexia, or a loss of appetite, is not a common symptom of pheochromocytoma. Although pheochromocytoma can cause various symptoms, anorexia isn't a primary or specific indicator of this condition. Hence, option B does not support the diagnosis of pheochromocytoma.

Option C: Urinary frequency

Increased urinary frequency, or the need to urinate more frequently, is not a characteristic symptom of pheochromocytoma. This symptom can be associated with various other conditions, and it does not specifically point towards a diagnosis of pheochromocytoma. Hence, option C does not support the diagnosis of pheochromocytoma.

Option D: Bronze pigmentation of the skin

Bronze pigmentation of the skin is not a symptom of pheochromocytoma. This symptom is more commonly associated with conditions like hemochromatosis or Addison's disease. Therefore, option D does not support the diagnosis of pheochromocytoma.

Conclusion

Based on the analysis, malignant hypertension (Option A) is the finding that supports a diagnosis of pheochromocytoma, as it is a result of the excessive production of adrenaline and noradrenaline characteristic of this condition. The other options are not specific or primary indicators of pheochromocytoma.