KROK 1 2019 – Question 103 · KROK (Medicine) · Pathophysiology

A 3-year-old child has been brought by ambulance to the intensive care unit of the infectious diseases hospital. On examination the child is in severe condition, skin and mucosa are dry, tissue turgor is reduced. The patient’s history states that profuse diarrhea and recurrent vomiting were observed throughout the previous day after the child had eaten food products of poor quality. What type of salt and water imbalance is likely to have developed in the patient?

  1. A. Hyperosmolar hyperhydration
  2. B. Hypoosmolar dehydration
  3. C. Isoosmolar dehydration
  4. D. Hypoosmolar hyperhydration
  5. E. Isoosmolar hyperhydration
Hint

Decide first whether total body water is increased or decreased, then consider how the osmolarity of the fluid lost compares with that of plasma.

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