01525nam a2200277   4500001000800000005001700008007000300025008004100028040000800069041000800077100003700085245005500122300002500177520068800202650002900890650002200919650002800941650001900969650002400988650001701012700003501029700002501064773011001089942003101199999001701230ESSALUD20260805115206.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aOsborn, Rachel R. eAutor953949  aCase 16-2026: A 14-Year-old girl with hypertension  apáginas: 2256-2264  aA 14-year-old girl was admitted to this hospital because of hypertension. The patient had been in her usual state of health until 10 days before the current admission, when malaise, myalgias, and nausea developed, with five episodes of vomiting. The patient’s parents took her to the emergency department of another hospital. On evaluation, the blood pressure was 125/85 mm Hg and the heart rate 120 beats per minute. The patient was actively vomiting and had dry mucous membranes. She appeared to be well developed and nourished. Laboratory test results are shown in Table 1. Intravenous fluids were administered. The symptoms abated slightly, and the patient was discharged home.  aMEDICINA CLINICA 933681  aDEPRESIÓN95520  aENDOCRINOLOGÍA936891  aHIPERTENSIÓN  aNEFROLOGÍA913133  aNEUROLOGÍA  aHausmann, Jonathan S.  953950  aTan, Weizhen 9539510 022717922641dMassachusetts NEJM GroupoNEJM008tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-08-03zSQB  c22779d22779