You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A seven year old asymptomatic girl is found to have persistant hypeension. There is no significant history and urine examination is the following is the most likely cause: and explain in detail?
Answer is B (Renal Parenchymal Disease): Renal Parenchymal Disease is the most contmon cause of hypeension in children and should be considered in the evaluation of all asymptomatic children with hypeension Coarctation of Aoa may present with hypeension in children but this is an uncommon cause and usually presents with a charachteristic finging of blood pressure differential of > 10 mm Hg between upper and lower extremities, systolic hypeension in upper extremity along with decreased or absent femoral pulses Polycystic kidney Disease does not usually present with hypeension in children. Hypeension usually becomes clinically apparent in middle age and hence the condition is also called 'Adult' polycystic kidney disease.