The Doctor is in

Rockland Hospital, says:

Your child is distinctly overweight for his age. We need more accurate assessment with regard his body indices. This blood pressure recording is high and could be related to weight and nutrition. A detailed physical and nutritional assessment of your child is necessary. The blood pressure too, needs assessment with specific blood and renal imaging tests once a metabolic or hormonal cause has been ruled out.

For children, renal hypertension is the most common cause for high blood pressure, which is very often underdiagnosed.