Hypertension Flashcards
1
Q
What is hypertension in children?
A
BP above 95th percentile for height, age and sex
2
Q
Which children are at increased risk of HTN?
A
Overweight or obese
3
Q
Causes of hypertension
A
- renal parenchymal disease
- renovascular e.g. renal artery stenosis
- polycystic kidney disease (autosomal recessive and domiant)
- renal tumours
- coarctation of the aorta
- pheochromocytoma
- neuroblastoma
- congenital adrenal hyperplasia
- Cushing syndrome or corticosteroid therapy
- hyperthyroidism
- essential hypertension
4
Q
Presentation of HTN
A
- vomiting
- headaches
- facial palsy
- hypertensive retinopathy
- convulsions
- proteinuria
- faltering growth and cardiac failure in infants
- paroxysmal palpitations and sweating in pheochromocytoma
5
Q
Why is investigation important?
A
To prevent CKD ?
6
Q
How frequently should children with renal tract abnormality should have blood pressure checked
A
Annually throughout life
