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Pediatr Emerg Med Pract. 2019 Mar 1;16(Suppl 3):1-2.

Points & Pearls: Pediatric hypertension and hypertensive emergencies: recognition and management in the emergency department

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Associate Professor of Emergency Medicine, Carolinas Medical Center, Atrium Health, Charlotte, NC
Pediatric Emergency Medicine Ultrasound Fellow, Department of Emergency Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital, Palo Alto, CA


Pediatric hypertension is increasing in incidence, but remains greatly underrecognized, despite its severe long-term health consequences. Often discovered as incidental to another complaint, pediatric patients with hypertension may be asymptomatic but with markedly abnormal blood pressure, or they may have a true hypertensive emergency. This issue provides strategies to ensure that the child with asymptomatic hypertension receives appropriate screening and referrals, and outlines a systematic approach for the evaluation and treatment of the critically ill child who presents with symptoms of severe hypertension. [Points & Pearls is a digest of Pediatric Emergency Medicine Practice.].


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