Bilateral Optic Disc Swelling（双侧视盘水肿

nullBilateral Optic Disc Swelling（双侧视盘水肿）as the Presenting Sign of Pheochromocytoma（嗜铬细胞瘤） Bilateral Optic Disc Swelling（双侧视盘水肿）as the Presenting Sign of Pheochromocytoma（嗜铬细胞瘤） Your Company slogan in hereCase presentationCase presentationInquiry（问诊） Physical examination（体格检查） Auxiliary examination（辅助检查） Diagnosis（诊断） 4123ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.InquiryInquiryMain complaints 9-year-old boy Referred for management of “papilledema（视乳头水肿）”.Further inquiry & Physical examinationFurther inquiry & Physical examination间断性头痛、发作性腹痛小便频数、出汗过多眼科检查无手术、外伤、药物、中毒史，近期无感染意识清楚，定向力正常；无明显异常间断性头痛、发作性腹痛三月余视敏：双眼20/20，色觉：双眼9/10，视野正常，瞳孔活跃，眼球活动正常。 眼底检查！其他精神状况 神经系统血压 心率BP: 220/160 HR: 140bpmnull双侧视乳头充血、水肿检查黄斑，在视网膜色素上皮细胞层发现黄色的、边界清楚的小斑点。斑点附近有半个视盘大小的水泡状视网膜剥脱。Auxiliary ExaminationAuxiliary Examination Pheoch-romocy-tomalaparoscopic right suprarenal adrenalectomy :A mass measuring 5 × 4.5 × 3 cm with cystic and solid components; histopathologic examination: pheochromocytoma.Urinary CA: abnormally high metaiodobenzylguanidine scan: positive uptake (pheochromocytoma)Abdominal ultrasonography+MRI：右肾上腺肿块DiscussionDiscussion Careful eye examination the importance of considering hypertension in the pediatric（小儿科） age group cost-effectiveness of having a sphygmomanometer(血压计） in an ophthalmology（眼科） office.nullYour Business Company slogan in here