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1/ Dehydration is an important cause of morbidity and mortality as a complication of pediatric illness.
Let's dive in as one of our residents, Dr. Jonji Barber, reviews how we diagnose, classify, and treat dehydration in our patients!
Let's dive in as one of our residents, Dr. Jonji Barber, reviews how we diagnose, classify, and treat dehydration in our patients!
2/ We'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
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
4/ Let'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!
