Q:

A 12 year old patient presents with copious diarrhea. Examination: urine output low, mucous membrane dry, skin turgor low. What is the most appropriate initial management?

waelhammad
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2022-11-03
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A 12 year old patient presents with copious diarrhea. Examination: urine output low, mucous membrane dry, skin turgor low. What is the most appropriate initial management?

  1. Antibiotic
  2. Antimotility
  3. Anti-emetic
  4. Fluid replacement
  5. Reassurance
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waelhammad
2022-11-03
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The key is D. Fluid replacement. [Diagnosis is severe dehydration. Points in favour: i) low urine output ii) dry mucous membrane and iii) low skin turgor].

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