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A 37-year-old male asked about a 35-year-old female:

Lthead @stand up, skin cold/clammy w/exercise, hand+feet swell/hot@bed,ice-cold@day, random flushing, freq cold intol. not 2/2 anx. nl ecg/echo. what?

1 doctor answer • 9 doctors weighed in
Dr. Richard Federbush
Dr. Richard Federbushanswered
Internal Medicine 38 years experience
More testing : The next "round" of testing woyld include a 24hour heart monitor to rule out any arrythmia. A Full metabolic workup is necessary to exclude endocrine causes.( Cortisol, sugar, thyroid) A 24 hour urine should be done to rule out carcinoid and pheochromocytoma. Lastly a neurologic evaluation to rule out autonomic dysfunction.
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Dr. John Munshower
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Dr. John Munshower and 7 doctors agree8 doctors agree

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Last updated Jul 25, 2015

Found in:

Exercise or physical activity›Flushing›ECHO

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