TY - CHAP M1 - Book, Section TI - Renovascular Hypertension A1 - Janjua, Halima S. A1 - Matar, Raed Bou A1 - Kwon, Charles Y. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 14-year-old girl presents to your office for a routine physical examination. She has history of chronic headaches and complains about abdominal pain after eating. Her vital signs reveal a blood pressure of 163/100 mm Hg. Repeat manual blood pressure is 152/98 mm Hg. You obtain laboratory studies, which reveal a normal serum creatinine, mild hypokalemia, and elevated plasma renin activity and aldosterone level. Her renal ultrasound with Doppler is suspicious for right renal artery stenosis. You start hypertension management with a calcium-channel blocker and refer her to a pediatric nephrologist, who obtains a computed tomography angiography (Figure 71-1) that reveals severe narrowing of right renal artery. Her blood pressure remains sub-optimally controlled with calcium-channel blockers. An angiotensin II receptor blocker is added to her hypertension management. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/11 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114873005 ER -