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 aooaeritis, (B) Renal parenchymal disease, (C) Grandmal seiures, (D) Coarctation of aoa
Answer is D. Ans. is 'd' i.e., Coarctation of aoa Isolated upper extremity hypeension (200/140 mm Hg), together with absent/diminished femoral pulses is a characteristic feature of coarction of aoa.