Sustained severe hypeension in children is most commonly suggestive of -
Ans. is 'c' i.e., Renal Parenchymatous disease Hypeension in children o Hypeension is defined as the aerial blood pressure above 951" percentile with reference to age and sex. o Between the 90" and 95th percentile it is called borderline high blood pressure. Causes of hypeension in children o Essential hypeension is relatively uncommon (10%) in children in contrast to aged persons. o The four most common causes of hypeension in children are : - i) Chronic glomerulonephritis (most common) --> 25 % Chronic pyelonephritis --> 10 % iii) Renal aery stenosis --> 10 % iv) Essential hypeension --> 10% Remember o MC cause of hypeension in children --> chronic glomerulonephritis. o MC cause renovascular hypeension in children renal aery stenosis.
Coarctation of aoa
Pheochromocytoma
Renal parenchymatous disease
Drug induced