Emergency department

18- The mother of a 3-year-old male brought him to the emergency department stating he developed vomiting followed by diarrhea and became very lethargic. Physical findings revealed a tired young child with a fever, increased bowel sounds, sunken eyes, dried lips, and dry mucous membranes. Laboratory findings included an abnormal electrolyte panel and an elevated white blood count with a left shift. He was admitted to the hospital and administered IV fluids with potassium added to correct the dehydration. It was determined the child had gastroenteritis caused by rotavirus when another lab finding revealed a positive rotavirus antigen. After two days in the pediatric unit, the child was discharged having recovered from the gastroenteritis due to rotavirus and the resulting dehydration. The mother will bring the child to the pediatrician for a follow-up visit in one week. Principal diagnosis Secondary diagnosi