A collegiate freshman golfer was hypertensive at her preparticipation physical exam (PPE). Further investigation revealed coarctation of the aorta with secondary hypertension that had been asymptomatic. The PPE is a good forum for hypertensive screening because it may be one of the few times an apparently healthy adolescent is seen by any physician. This case emphasizes the need to screen for silent hypertension and discern its cause in adolescents.
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