Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring • Urological or congenital renal pathology • Symptons of sympathetic overactivity • Ambigous genitalia • Edema, high serum creatinine and/or abnormal urinalysis • Systemic disorders with secondary glomerulonephritis • Neonatal umbelical catheterization • Abdominal auscultatory bruit • Upper extremities hypertension and lower extremities hypotension. • Familiar chronic or congenital renal disease