“Mind your P's, Q's and T's”

In 1886, Frankel 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 …