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Added on March 21, 2011, 3:44 pm
Don't tell me if the 3 year old child with the 90/60 BP consider normal....I'm not talking about what common condition will be found in a 3 years old kid....In general...even if a kids with 140/90 of blood pressure it should be considered as hypertension....

Btw, the blood pressure is affected by multi-factors...BMI,endocrinological disorder and so on....but the age shouldn't be the main concern for the blood pressure but it does play the role in reflecting the common conditon of that particular age group....By looking at the age it's not enough for you to exclude any possibilities...That's why my answer is so general....

This post has been edited by MBBS siang: Mar 21 2011, 04:43 PM

My 2 sens, I think it's rather dangerous to just put this out there, despite WHO guidelines. The 3 year old should be brought in for an actual physical consult with a paediatrician, or at least a GP if BP levels are suspicious! FYI, I am not from the medical fraternity, but in this case, common sense applies. It's almost like trying to self-diagnose on the internet.

I appreciate and thanks for the comments....it's true one should bring a 3yo kid with suspicious of the BP to a medically qualified physicians for proper advice and check up....But this guideline is applied to all age groups and the physicians are also following them....It's advisable to start treament with the blood pressure of 130/80.....

Btw,hypotension is more worrying then hypertension because it is acute....but in some rare endocrinology disorder the small kids may diagnosed as hypertensive like cushing syndrome....

This post has been edited by MBBS siang: Mar 21 2011, 04:35 PM

isn't 90/60 kinda in the normal range depending on the height? As in different percentiles for different bp. Generally you'll expect a lower BP and higher HR in younger children. Well, I just read this up for my report, unless I screwed up my info.

i suggest you go back to your books again, before giving out wrong information here.......

really makes me more doubtful about what the hell cucms is teaching.........

Sorry,

My fault in giving out wrong information....

I was misled by the definition of the hypertension and think that the normal blood pressure should apply to all age groups....actually the normal blood pressure of children is not specifically in our syllabus....

It's my mistake of giving out such information about blood pressure in children.....I should read more before any comments....

onelove, yea you are right....thanks for the lesson....limmue, i should rephrase my sentence....the diagnosis of hypertension is when one meet the criteria of more than or equal140/90(I shouldn't said the age is not a main concern but it isn't one of the criteria to diagnose hypertension)....

This post has been edited by MBBS siang: Mar 21 2011, 05:57 PM

Blood pressure in paediatric patients are according to the centile chart for age or height. The one according to age is more commonly use. The reference value is inside the paediatrics protocol. I thought every clinical year student or doctor should at least know that....

This post has been edited by plain_white: Mar 21 2011, 07:10 PM

.............................

guys
i know the fact that children BP should be lower than adult
but i need to know the specific value for each age group (newborn,infant,young children and older children)

for example: peadiatrics normal resting pulse
age -------------------------- beats/min
<1 year -------------------------110-160
2-5 years------------------------- 95-140
5-12 years-------------------------80-120
>12 years ---------------------------60-100

taken from book
but i couldnt for BP
of course BP cant be the same as adult
just look at the pulse
only child above 12 years old, the pulse value became same as adult

the reference values are stated in paediatrics protocols for malaysian hospitals 2nd edition page 3. Seriously, if u are local student then u should really get that book. Just rm15. Or u can download from MPA website. good luck!

lol
sold out/finish in my hospital
I will finish my paediatrics posting before new batch of that book arrive
ergo I need answer now/ASAP

lol...just to answer your question. for child age 3-5 more or equal 116/76 is condider significant hypertension and more and equal 124/86 is severe hypertension...
http://www.mpaweb.org.my/file_dir/8863103084bc81dd1a9a73.pdf
the download link is here in case you need more details

p/s: busy and stress for my final exam now so lazy to type all

So,you means this will be covered in Clinical year? I'm currently 2nd year...I feel like so stupid to be so ignorance and yet arguing about uncertainty...

u will learn this and lots more during ur paeds posting...so don't be so pessimistic now
i think it's very commendable of u to admit ur mistake...by the way we all make mistakes
cheers!

Ｔｈａｎｋ　ｙｏｕ．　Ｗｉｌｌ　ｗｏｒｋ　ｈａｒｄ　ｍｏｒｅ．．．

ah~ I have no idea how to refer to the height percentile though =/ Think I'm suppose to refer back to the growth chart for reference. We have a program to follow a kid from birth till she/he is 2 years old, and we chart the movements and everything else =) which is interesting. Guess it's like a 'pre-pediatrics' learning for me =)

hey
thanks plain white for the info

Hi! May I know what is the common cause of costocondrtits....Because my friend said she had been coughing and this actually to the costocondritis which already diagnosed by the doctor...but I'm not sure how does this happen....increase intra-thoracic pressure the causing costochondral junctions injury??

But coughing should cause more effect on intra-abdominal pressure...

This post has been edited by MBBS siang: Mar 21 2011, 10:20 PM

Not a doc but last time I had it was due to lack of T3 due to inefficiency in conversion by the adrenal glands. Main cause? Severe stress.

T3 not converted efficiently by adrenal gland? You mean thyroid gland is it? T3 deficiency? How does this related to costacondritis?

This post has been edited by MBBS siang: Mar 22 2011, 12:09 PM

Have you noticed that AIMST is putting up media advertisements looking for students to sign up for Foundation in Business and Diploma programs in Nursing and Physiotherapy AND no signs of intake for Medical programs?

Even in Education pull-outs in the newspapers, the focus is not on Medical or Dentistry programs not unlike the previous years where the emphasis is on your university of choice for Medic.