Infectious gastroenteritis (acute) (pediatrics) Quiz: Ace Your Exams
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A 3-year-old boy is brought to the emergency department with a 24-hour history of profuse watery diarrhea, non-bilious vomiting, and decreased oral intake. A caregiver reports six episodes of diarrhea today and an inability to tolerate liquids. The caregiver also notes unusual sleepiness, decreased activity, and no urine output for 10 hours. Symptoms began shortly after contact with a cousin who had a similar illness. Temperature is 37°C (98.6°F), blood pressure is 85/58 mmHg, heart rate is 140 beats per minute, respiratory rate is 22 breaths per minute, and oxygen saturation is 98% on room air. Examination shows dry mucous membranes, sunken eyes, decreased skin turgor, and a capillary refill of 3 seconds. The abdomen is soft with mild generalized tenderness to palpation and no distention. What is the most appropriate initial management?
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