1 yr old presents with loose stools of 4 days duration . stools are watery with no blood in it . he weighs 4.9 kg length of 72 cm. feets looks normal . he was on ragi and cow milk which was diluted . he used to eat only a small qty of ragi
he is pale ,eye dry conjunctiva sunken eyes,pulse volume low angular stomatis +
cbc hb 8 gm% tc 15000/mm3 rbs 50 mg%
urea creatinine nl albumin 2.5 gm% na 135 k 3.5 mg 1.4 cal 8 p 4
what is the probable dx?
sam add
hypoglycemia
what is the line of management?
emergency signs
how do you prevent it?
what is the effect on various systems?