What Is The Use And Procedure Of Urine Toxicology Test?

Question: What do they test for in a urine toxicology test? Other than drugs They found Cavernous Lesions in both my lungs and I also have been having very high BP and pulse rate. I also have been experiencing "flushing" sensations that seem to feel like adrenaline from time to time for over a year. I have a Family Dr that is great and I was tested for pheochromocytoma once but I really think that the nurse that took the 24hr specimine waited too long to send the specimine out which caused it to not be valid. The ER Doc today thought it could be a possibility as well after telling her my symptoms. Also, I think I have reactions to steriod injections. I had one this past Monday with my my Ortho Doctor. Have been every 6wks and this was my 3rd time, but didn't have the BP and HR increase untill Friday. The last tiime that happened was The 1st time I had a steriod injection in 12/2012. That is when I initially started taking Bp meds. I have been off my Bp meds per my family doctor for 4 months now and just got a new script today per ER and have to follow up with PC Doc on Monday to get an Event Monitor and a referral to a Pulmonary Specialist for New found Cevernous Lesions x5 bilaterally with other smaller ones bilaterally per chest CT scan. I am scared to death and am not really sure what is going on. They were going to admit me to Med-Obervation and have lung biobsy taken but a 3rd hospitalist met with me and said she thought it was related to my situational stress. Really?? My symptoms started on early Friday morning and when I got to work- I work in Hospital Administration in an ER- I had a nurse check my BP and pulse it was 160/105 w/ pr 130 @0930... 145/96 w/ pr120 @1100... took alprazolam 1mg (that's all I had) 140/90 w/ pr 110 @1330... 150/80 w/pr 120 @ 1700... I felt horrible going home but I made dinner and sat around then started feeling the "flushing" sensation again and my vision went completely black, my left arm, neck, and face was tingling but not numb, and I COULD NOT LIFT MY HEAD UP AT ALL!!! I felt like I weighed 1,000 lbs. I am 5' 1/4" and weigh 109lbs-- after a few minutes (I assume) my vision came back, blurred, a double, I was able to walk to the bathroom and vomit, I was very nausious- my body felt extremly heavy, i turned the water on and put cold water where ever I could put it and layed in the floor until I felt better to get into my bed. I felt horrible, kept waking up, sweating, scared, finally fell asleep for a while, woke up, brushed my hair and teeth, got dressed and drove to the emergency room knowing my BP and PR was still elevated and that I was still having pressure and tightness in my chest. They had me on TELE for hours in the ER today, knowing I had Arrhythmia, and palpitations, and to beat it all found the CAVERNOUS LESIONS IN MY LUNGS and want me to f/u with a pulmonologist for "very small lung cysts on CT chest"??? What do you think about this? What is your professional opinion? BTW, they ordered a CBC w/diff, CMP, POC Traponin in the ED, TSH(that has always been normal), sent out a T3 and T4free uptake, Tox screen, Catecholamines (urine) and a urine Preg(neg)

Just wanted to add that I have not been taking steroid injections since 12/2012. I had one in 12/2012 that sent my BP soaring and swore I'd never have one again!! I have had the "flushing sensations" off and on through out the year that have caused me to have increased Bp and HR with what seems to be adreanaline rush. The best way to describe the feeling is like when you have to slam on your brakes, or when you almost trip up the stairs in front of people, THAT FEELING you get of adrenaline afterwards is how I feel! For no apparent reason!! It is just coincidence that I am having these symptoms Friday after my steroid injection this past Monday, or is it? My Ortho Doc gives me a small dose b/c i told him of the incident with the 1st steroid injection. My biggest worry now is the cavernous lesions-- many of them!! And my discharge papers say that I have "very small lung cysts seen on my lung CT" Which is it? The ER doc described it as "cavities" and insisted that I be admitted, then a 3rd hospitalist came and, excuse me, was a BIDDY, and said I was having situational stress and could go home, f/u with my PC doc, get the event monitor for 30d in my normal environment push a button, f/u w/ a pulmonologist for my lungs which she thought was a hormonal thing.... I'm really confused and scared and needing more opinions on this one!! Please help.

I had a CT of my pelvis w/contrast and abdomen w/contrast today and it showed Pelvic organ: prominent R adnexal cysts, largest up to 3.7cm, better assessed w/ US, trace free pelvic fluid. Liver: 2 small hypodense lesions within the periphery of the R lobe, more superiorly measuring 8mm, more posteriorly and inferiorly 1.1 cm; both show peripheral hypervasculariity and are nearly isodense to liver on the delayed series, suggesting benign hemangiomata. There may be a 3rd similar lesion adjacent to the the larger of the two discussed above, measuring 6mm. Correlation w/ US helpful.
WBC10 (4.8-10.8),RBC4.19(4.10-5.10),Amylase30(U/L30-100), Troponin-I 0.012 (0.034-0.11ng/ml) The Doc said- your sx do not seem serious but may take more time to be serious. Follow up with your family doctor& cardiologist.
I initally went to f/u from my previous ER visit b/c I was not feeling any better. BP and pr were still elevated, went to ER closer to my family practice and got my CT CD's from previous day to take with me with a chest CT from 2009 for comparison. He recommended also for event monitor, cardiology consult, pulmonogist, gyn consult, and family doc tomorrow morning. I have no clue what's going on?! The ER doc says I have nothing serious but I feel terrible and have been for a while. I've lost 20 lbs in 3mo, fatigue, intermittent cp & shob, back and abdominal pain, my shoulder injury has changed(as if I re-injured), hip pain, it's not severe, however my shoulder does hurt more than the rest. So does my abdomen and back, I feel like im falling apart? Why do I all of a sudden have things on my organs? And pain everywhere? Cp, shob, BP and pr elevated?