Another "Oh Yeah" Moment

There's a nearby school district having parent-teacher conferences today and tomorrow, meaning the students are off. This means I saw six kids for physicals today with more scheduled for tomorrow.

Scenario: Perfectly healthy 14 year-old boy, tired because he was awake all night at a friend's house ("sleepover" is such a misnomer) has a blood pressure of 120/100 (120/90 on repeat) with both a regular and large adult BP cuff.

WTF?

How much soda (caffeine) do you drink?

• Very little.

Any tobacco, alcohol, drugs?

• No.

What did you have to eat last night?

• Cheese, peanut butter crackers, cheerios.

Any caffeinated soda?

• No.

Mountain Dew?

• No.

Do you have a cold? Any cold medicines?

• No.

Normal weight/BMI. Nothing to explain his BP. Yes, there's a family history of hypertension, so I call in the mom and we start talking about re-checking it in a month or so.

Suddenly the kid says,

Oh yeah! I had an energy drink.

Cool. At least he remembered it while he was still in the office. Most of the time it's a call back several days later. We'll still re-check the BP, but at least mine went back down.