An IV is started and a chemistry panel is drawn at the same time. They now have emesis on their furniture and carpet and he has splattered some diarrhea over the bathroom floor, so they would like the IV for him. Oral versus IV rehydration is discussed with his parents who indicate that they have tried oral hydration and are not happy with the results. He is clinically assessed to be 5% dehydrated by clinical criteria.
#Supple game word parameters skin
His overall color is slightly pale, his capillary refill time is 2 seconds over his chest, and his skin turgor feels somewhat diminished. He has no inguinal hernias and his testes are normal. Hear and lung exams are normal except for tachycardia. His oral mucosa is moist but he just vomited. He is alert and cooperative, but not very active. He has only urinated twice in the last 15 hours.Įxam: VS T 38.2 degrees (oral), P 110, R45, BP 90/65, oxygen saturation 100% in room air. He feels weak and tired and he looks slightly pale at times. Despite this, he continues to have vomiting and diarrhea. His parents gave him a sports drink (red color), and then they tried clear Pedialyte. He has had a fever with a maximum temperature measured at 101 degrees at home.
The diarrhea is now watery and the last few episodes have been red in color. He has had 10 episodes of vomiting (clear then yellow tinged) and 8 episodes of diarrhea with some mucusy material in the first few episodes. Burns School of MedicineĬase 1: A 4 year old male presents to the emergency department with a history of vomiting and diarrhea. Case Based Pediatrics Chapter Case Based Pediatrics For Medical Students and Residentsĭepartment of Pediatrics, University of Hawaii John A.
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