Hypodysplasia in Adolescents

An adolescent is brought into the ED for medical clearance based on reports of suicidal ideation . On exam he has high blood pressure and reports chronic epididymitis. Your main concern may be drug use based on medical history, but should you be concerned with the high blood pressure?

Take home points:

• Do not ignore high blood pressure. PediatricsinReview: Childhood Hypertension
• For urinary tract history combined with high blood pressure order an ultrasound upon admission to rule out emergent kidney issues and possible obstruction.
• A quick link to GFR Calculator, Original Schwartz Equation (for use with routine creatinine methods that have not been recalibrated to be traceable to IDMS).