Dehydration (pediatrics) Quiz: Ace Your Exams
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A 24-month-old boy is brought to the emergency department for evaluation of nausea, vomiting, and diarrhea for the past four days. The parent states that the child has been eating and drinking, although less than usual. The child has no other medical history since birth. Temperature is 37.5°C (99.5°F), respirations are 34/min, and oxygen saturation is 99% on room air. Physical examination reveals a child playing with a phone in no acute distress. Cardiopulmonary exam is unremarkable. Mucous membranes appear tacky. Oral rehydration therapy (ORT) is prescribed. Which of the following findings on history and physical exam would suggest this is not the appropriate management for this patient?
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