A 4 year old male was admitted to the emergency department with a history of vomiting and diarrhea. He has had 10 episodes of vomiting (clear then yellow tinged) and 8 episodes of diarrhea with some mucusy material in the first few episodes. The diarrhea is now watery and the last few episodes have been red in color. The diarrhea odour is very foul. He has had a fever with a maximum temperature measured at 101 degrees at home. His parents gave him glucose water. Despite this, he continues to have vomiting and diarrhea. He feels weak and tired and he looks slightly pale at times.
He has only urinated twice in the last 15 hours. Exam : VS T 38.2 degrees (oral), P 110, R45, BP 90/65, oxygen saturation 100% in room air. Weight 18 kg. He is alert and cooperative, but not very active. He is not toxic or irritable. His eyes are not sunken. TMs are normal. His oral mucosa is…
