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A nine-year-old girl was admitted to the hospital because of headache, papilledema, visual changes, and vomiting. The headaches had begun 18 months before admission, and enuresis 9 months before admission, followed by decreased visual acuity. A neurologist had found bilateral papilledema. On admission, the blood pressure was 210/130 mm Hg. A pediatric intensivist and a pediatric nephrologist discuss the urgent treatment and diagnostic evaluation of a child with hypertension.
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Kohane et al. (2005) studied this question.
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