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Hypertension - pre-referral guideline

Initial work-up

• U&E, Ca
• Creatinine 
• FBE

When to refer

• BP>95^th percentile for age and height
• Symptomatic hypertension such as headache, nausea, vomiting, abdominal pain, neurological changes, seizures, CCF or blurred vision.
• Hypertension with haematuria or proteinuria.
• Hypertension with extra renal manifestations such as joint pain, rash, joint swelling, haemoptysis, dyspnoea, cough or oedema.

Information needed

• Copy of blood reports
• Renal ultrasound if available
• Echocardiogram
• Documentation of blood pressure

Resources

Kids Connect (RCH Primary Care Liaison)

Kids Health Info (Parent factsheets online)

Contact information                 

References

Paediatric Handbook (2003) Renal conditions and enuresis, Chapter 32 (pp546-566); Colin Jones and Annie Moulden; Seventh Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia