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Old 01-08-2012
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Sphygmomanometer high blood pressure and hematuria in immobilised teenager

A 15-year-old boy has been immobilized in a double hip spica for 6 weeks after having fractured his femur in a skiing accident. He has become depressed and listless during the past few days and has complained of nausea and constipation. He is found to have microscopic hematuria and a blood pressure of 150/100 mmHg. Which of the following is the most appropriate course of action?

a. request psychiatric evaluation
b. check blood pressure every 2 hour for 2 days
c. collect urine for measurement of calcium-creatinine ratio
d. renal sonogram and I/V pyelogram
e. measure 24 hr urine protein
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Old 01-08-2012
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Its C...........
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Old 01-09-2012
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Quote:
Originally Posted by anomali View Post
Its C...........


can u give explaination please????
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Old 01-09-2012
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Immobilized children will often develop Hypercalacemia which will subsequently lead to Hypertension and Hematuria i guess
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Old 01-09-2012
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hypercalcemia develops in immobilizes children with fracture of weight bearing long bone.
result of hypercalcemia and hypercalcuria re nephrocalcinosis,nephropathy,hypertensive encophalapathy and convulsions.
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