TABLE 10

Screening Tests and Relevant Populations

Patient PopulationScreening Tests
All patientsUrinalysis
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 aboveHemoglobin 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 studiesFasting 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.