SAQ 699 – Paediatrics – vomiting child and rehydration planning

An 18-month-old girl presents to the ED with fever and vomiting for 36 hours, associated with two loose stools. She is not tolerating oral intake.

Her mother thinks she has caught gastroenteritis from her 3-year-old brother.

List three (3) alternative diagnoses that may account for her symptoms.

(Marked out of 3.0)

/ 3

List three (3) history features that would suggest an alternative diagnosis to acute gastroenteritis.

(Marked out of 3.0)

/ 3

List two (2) initial therapeutic interventions to treat her symptoms.

(Marked out of 2.0)

/ 2

She requires rehydration. Based on 5% dehydration in a 10 kg child, complete the table.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Type of fluid</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Volume</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rate</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Intravenous rehydration</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rapid nasogastric rehydration</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

List one (1) advantage and one (1) disadvantage for each rehydration option.

(Marked out of 4.0)

/ 4

Total Score: 0 / 18

Percentage: 0%