Severe Hypertension in an Adolescent Girl
The initial evaluation for pediatric hypertension should aim to identify renal and renovascular causes with measurement of serum electrolytes, blood urea nitrogen, creatinine, calcium, uric acid, cholesterol, and plasma renin, complete blood count, urinalysis, urine culture, and renal ultrasonography. In the article, Table 3 lists the causes of hypertension in children. Essential or primary hypertension is less common and is a diagnosis of exclusion.
- Essential hypertension.
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