Hypertension in Children

What this deck covers

Hypertension in Children in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: A repeat reading in the other arm, A simultaneous heart rate, Rickets, with cupping at the costochondral junctions, A renal artery Doppler study, Plasma or urinary metanephrines, An overnight dexamethasone suppression test, Thyroid function tests, A kidney enlarged by multiple cysts, A normal kidney with prominent medullary pyramids, A pericardial effusion, which explains the pressure, A dilated left ventricle, indicating volume overload, A coarctation of the descending thoracic aorta, Adrenal cortical excess, with a suppressed renin.

Clinical pearls from this deck

• The bladder should reach about 80 to 100 per cent of the way round the arm, and be about 40 per cent of its circumference wide.
• Below 13 years, hypertension is defined by centiles: the threshold is the 95th centile for age, sex and height.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.