Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Hypertension is a concerning finding in the pediatric age group; this is even more so if the patient is preadolescent, as nearly all such cases are secondary in nature.\n \nThe first step in the workup should be to confirm the diagnosis of hypertension; the next step is to determine if the hypertension is primary or secondary in nature, and if the latter, identify the causative etiology.\n\nIn this patient\u2019s case, several factors suggest at a secondary cause: her age being \u003C30 years; the lack of a family history of hypertension; and the absence of obesity. Furthermore, she is not on a diet or on medications that might give rise to an elevated blood pressure.\n\nIn the preadolescent age group, renal parenchymal disease and renovascular hypertens"}]}

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