The Rational Clinical Examination
David L. Simel, Drummond Rennie
Michael J. Steiner, Darren A. DeWalt, Julie S. Byerley
Clinical Scenarios, Why Is the Clinical Examination Important?, Methods, Results, The Bottom Line, Clinical ScenariosResolutions, References
dehydration, hypovolemia, pediatrics
"A 20-month-old girl is brought to the emergency department (ED)
after 2 days of vomiting and diarrhea. Her father reports that she
has not eaten normally since the illness began and now will not drink.
She has had 8 stools so far today, but he does not think there were
any diapers with urine in them. The child appears mildly ill but
does make tears while crying. Her respiratory rate and quality are
normal, along with her other vital signs. Her mouth is somewhat
dry, capillary refill time is 1.5 seconds, and skin turgor is normal.
Her serum (blood) urea nitrogen concentration (BUN) is 12 mg/dL,
and bicarbonate concentration is 19 mEq/L...."
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