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HR bpm 127

SpO2 % 99

RR BrPM 34

Temp °C 36.6

NBP mmHg 83/42

A female patient, age 4 months old, is brought to the emergency department for vomiting and diarrhea. The child has vomited 9 times in the past 24 hours and has had 3 wet diapers and 8 dirty diapers in the past 24 hours. On exam the child is holding a toy, vital signs are on the monitor, cap refill is 1 second and mucous membranes are normal.

Partially Correct

This baby has mild (5%) dehydration. On history the child has decreased urine output, physical exam is normal.

Appropriate therapy at this stage is oral rehydration.

References:

Colletti JE et al. The management of children with gastroenteritis and dehydration in the emergency department. The Journal of Emergency Medicine 2010; 38(5) 686-698.

Evidence on the assessment of dehydration, methods of rehydration, and the utility of antiemetics in the child presenting with acute gastroenteritis

Oral rehydration therapy and early refeeding in the management of childhood gastroenteritis

Link: CPS Website

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Authors

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Mike Paget

mkpaget@ucalgary.ca

Manager - Academic Technologies - Cumming School of Medicine

What is the most likely diagnosis?

Streak:

Authors

Dr. Susan Bannister

Mike Paget

Reviewer

Dr. Hosanna Au