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1/ Dehydration is an important cause of morbidity and mortality as a complication of pediatric illness.
Let& #39;s dive in as one of our residents, Dr. Jonji Barber, reviews how we diagnose, classify, and treat dehydration in our patients!
Let& #39;s dive in as one of our residents, Dr. Jonji Barber, reviews how we diagnose, classify, and treat dehydration in our patients!
2/ We& #39;ll start with a case of a 4 mo F with diarrhea and increased spit-up x 2 days.
How can we assess her degree of dehydration based on history and physical exam?
How can we assess her degree of dehydration based on history and physical exam?
3/ Based on findings from a review of children with dehydration, lab measures and parental report of symptoms can be nonspecific.
The best individual exam signs are:
(1) prolonged cap refill time
(2) abnormal skin turgor
(3) abnormal respiratory pattern https://jamanetwork.com/journals/jama/article-abstract/198900">https://jamanetwork.com/journals/...
The best individual exam signs are:
(1) prolonged cap refill time
(2) abnormal skin turgor
(3) abnormal respiratory pattern https://jamanetwork.com/journals/jama/article-abstract/198900">https://jamanetwork.com/journals/...
4/ Let& #39;s review these concepts and how to apply them to your physical exams:
5/ Back to the case... Looks like our patient may be mildly to moderately dehydrated.
What next?
What next?
6/ Depending on severity of dehydration, there are several options for rehydration strategies. In general, oral rehydration is preferred to parental rehydration for mild to moderate cases!
7/ Thanks for joining us!
