Screening Tests and Relevant Populations
| Patient Population . | Screening Tests . |
|---|---|
| All patients | Urinalysis |
| Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine | |
| Lipid profile (fasting or nonfasting to include high-density lipoproteina and total cholesterol) | |
| Renal ultrasonography in those <6 y of age or those with abnormal urinalysis or renal function | |
| In the obese (BMI >95th percentile) child or adolescent, in addition to the above | Hemoglobin A1c (accepted screen for diabetes) |
| Aspartate transaminase and alanine transaminase (screen for fatty liver) | |
| Fasting lipid panel (screen for dyslipidemia) | |
| Optional tests to be obtained on the basis of history, physical examination, and initial studies | Fasting serum glucose for those at high risk for diabetes mellitus |
| Thyroid-stimulating hormone | |
| Drug screen | |
| Sleep study (if loud snoring, daytime sleepiness, or reported history of apnea) | |
| Complete blood count, especially in those with growth delay or abnormal renal function |
| Patient Population . | Screening Tests . |
|---|---|
| All patients | Urinalysis |
| Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine | |
| Lipid profile (fasting or nonfasting to include high-density lipoproteina and total cholesterol) | |
| Renal ultrasonography in those <6 y of age or those with abnormal urinalysis or renal function | |
| In the obese (BMI >95th percentile) child or adolescent, in addition to the above | Hemoglobin A1c (accepted screen for diabetes) |
| Aspartate transaminase and alanine transaminase (screen for fatty liver) | |
| Fasting lipid panel (screen for dyslipidemia) | |
| Optional tests to be obtained on the basis of history, physical examination, and initial studies | Fasting serum glucose for those at high risk for diabetes mellitus |
| Thyroid-stimulating hormone | |
| Drug screen | |
| Sleep study (if loud snoring, daytime sleepiness, or reported history of apnea) | |
| Complete blood count, especially in those with growth delay or abnormal renal function |
Adapted from Wiesen J, Adkins M, Fortune S, et al. Evaluation of pediatric patients with mild-to-moderate hypertension: yield of diagnostic testing. Pediatrics. 2008;122(5). Available at: www.pediatrics.org/cgi/content/full/122/5/e988.