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“Mind your P's, Q's and T's”
  1. R Boyle,
  2. M S Spence
  1. Royal Victoria Hospital, Belfast, County Antrim, UK
  1. Correspondence to Ryan Boyle, Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast, County Antrim, BT12 6BA, UK; ryan.boyle{at}talk21.com

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In 1886, Fränkel found bilateral tumours of the adrenal gland at the autopsy of an 18-year-old girl who had died suddenly after collapse. This was the first description of a patient with phaeochromocytoma.

This case describes a 54-year-old patient who presented with recurrent episodes of chest discomfort, palpitations and fatigue. Postural hypotension with reflex tachycardia …

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