Urine analysis and measuring blood pressure are part of clinical examination of children fitness and are useful in detection of renal diseases. Through a systematic randomised procedure I studied 213 children, aged 2 to 18 years old. Proteinuria was in 11.7% among them 72% were 10 years old or more (p.value=0.001). Haematuria was found in 11.7%. Those who had proteinuria and are prehypertensive were 2.9% (p.value. value =0.001). Prehypertension was found in 4.8% of underweight and in 8.8% of normal weight children with insignificant p.value. Urine examination and blood pressure measurement in developing countries is essential and should be routine for early detection of a symptomatic children. This study was done to help pediatricians and nephrologists to look behind the aetiology of end stage renal diseases.
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