Which of the following children may be considered high risk for developing hypertension? Select all that apply
A) Diagnosed with coarctation of the aorta as an infant
B) Recent scan showing a pheochromocytoma
C) Has a history of epilepsy with weekly seizures
D) Takes cyclosporine daily since a kidney transplant
E) Has a history of frequent sinus infections treated with antibiotics
Ans: A, B, D
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Approximately 75% to 80% of secondary hypertension in children is caused by kidney abnormalities. Coarctation of the aorta is another cause of hypertension in children and adolescents. Endocrine causes of hypertension, such as pheochromocytoma and adrenal cortical disorders, are rare. The nephrotoxicity of the drug cyclosporine, an immunosuppressant used in transplant therapy, may cause hypertension in children after kidney transplantation. Epilepsy and sinus infections do not cause hypertension.
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