paediatric hypertension

Question 1

renin dependent causes of paediatric hypertension

Answer 1

renal parenchymal disease

renovascular

renal tumours

Question 2

how can causes of paediatric hypertension be classified 7

Answer 2

renin dependent

coarcation of the aorta

catecholamine excess

endocrine

essential hyperteniosn

obesity

pharmacological

Question 3

causes of catecholamine excess paediatric hypertension 2

Answer 3

phaechromocytoma

neuroblastoma

Question 4

causes of endocrine assoaciated paediatric hypertension 3

Answer 4

congenital adrenal hyperplasia

cushing s

hyperthyroidism

Question 5

pharacological causes of paediatric hypertension 4

Answer 5

steroids

stimuland meds- methylphenidate, dexampehtamine

recreational drugs
-methamphetamine, ketamine, cocaine

liquorice

Question 6

investigations for paediatric hypertension

Answer 6

IN ALL PATIENTS

FBC, U&E, creatinine, albumin, bicarbonate, Ca,PO4,LFTs
 Plasma renin activity,aldosterone, plasma catecholamines
 Urinalysis, urine microscopy and culture, urinary protein to creatinine ratio, urinary
catecholamines
 Renal ultrasound with Doppler flow of the renal vessels, Echocardiography, ECG,
Chest X-ray, DMSA ( Di Mercapto Succinic Acid)

Question 7

treatment of paediatric hypertensiive CRISIS 2

Answer 7

labetalol

sodium nitroprusside

Question 8

long term treatment of paediatric hypertension 4

Answer 8

ACE-inhibtors

beta blocker

calcim channel blocks

diuretics