Electrolyte disturbances Quiz: Ace Your Exams

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A 2-year-old boy presents to the emergency department due to persistent vomiting and diarrhea over the past week. His parent states, “He just cannot seem to keep anything down, whenever I feed him he just vomits it right back up.” The patient attends daycare, and his parent is unsure of any sick contacts. He is otherwise healthy, vaccines are up to date, and birth history was uncomplicated. Temperature is 37.5°C (99.5°F), pulse is 160/min, respirations are 26/min, blood pressure is 84/40 mmHg, and O2 saturation is 96% on room air. On physical exam the patient is crying but consolable and is noted to have diminished tear production. Which of the following best describes the most likely electrolyte abnormality present?  

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