Approach to the dehydrated child

A 2-year-old boy weighing 12 kg has had two days of vomiting and profuse watery diarrhoea. He is now floppy and barely responsive, with cool mottled legs, a cap…

Clinical rotations · common

A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…

Clinical rotations · common

An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…

Pre-internship · niche

A 6-year-old girl weighing 20 kg is admitted with severe gastroenteritis. She was shocked on arrival and was given sodium chloride 0.9% 400 mL intravenously ove…

Clinical rotations · middle twist

A 7-month-old boy has had 18 hours of loose stools and two vomits. His mother says the nappies are as wet as usual and he is still breastfeeding well. He is ale…

Pre-internship · middle twist

A 2-year-old girl has had 24 hours of vomiting and watery diarrhoea. She is alert and irritable, her mucous membranes are dry, her father thinks her eyes look s…

Clinical rotations · common

A 4-year-old girl has had three days of watery diarrhoea and vomiting. She is irritable with dry mucous membranes and reduced urine output; her hands are warm,…

Clinical rotations · middle twist

A 15-month-old boy presents with two days of vomiting and frequent watery stools. He is alert but subdued, with dry lips, mildly sunken eyes, heart rate 148/min…

Clinical rotations · middle twist