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Case: Susie is a 6-month-old female who was brought into the emergency department for diarrhea and vomiting over the past two days. She had two large loose stools the first day and now her mother reports that she has been less active, is not interested in playing, and has been sleepier today. She is unable to keep any feedings down today. She has had 5 loose, watery stools and emesis x4 this morning. She has not had a wet diaper since yesterday evening. Susie has not had any immunizations since birth. She is 26 inches in length and weighs 16 pounds, 4 ounces. She weighed 17 pounds, 2 ounces at her last office visit two weeks ago. Susie's mother is 21 years old, a single mother, and this is her first child. Susie's mom is not currently working and lives with her parents and she feels overwhelmed as a new mother.
The most recent vital signs were:
T: 102.2 F/39.0 C (oral)
P: 158 (reg)
R: 36 (reg)
BP: 62/42
O2 sat: 95% on room air
Current Assessment:
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