{"ops":[{"insert":"An eight-year-old Caucasian girl is referred for further evaluation after a routine school health examination showed a blood pressure of 150\/90 mmHg, even after adequate rest. She is completely asymptomatic.\n\nShe has no medical history of clinical significance. She is not on any medications, including over-the-counter drugs or herbal supplements. Her family history is unremarkable. Her growth and development are normal. All immunizations are up-to-date. Her nutritional status is good.\n \nA complete blood count is within normal parameters.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-039_en.png"}},{"insert":"\n"}]}