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Pediatrics C.V.S. c4cf8ace

A ten-year-old boy presents to the pediatric emergency unit with seizures. Blood pressure in the upper extremity measured as 200/140 mm Hg. Femoral pulses were not palpable. The most likely diagnosis amongst the following is:

A
Takayasu aortoarteritis
B
Renal parenchymal disease
C
Grand mal seizures
D
Coarctation of aorta
High-Yield Explanation
d. Coarctation of aorta(Ref: Nelson's 20/e p 2205, Ghai 8/e p 431-433)Isolated upper extremity hypertension (200/140mmHg), together with absent/diminished femoral pulses is a characteristic feature of coarctation of aorta.

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