Sunken Eyes in Pediatrics — 3yo Child | Pediatric Nephrology | SMLE Q#11022

SMLE Question #11022

Pediatrics Pediatric Nephrology

Objective: OBJ-436

Last updated: February 2026
A 3-year-old boy has 3 days of profuse watery diarrhea and poor oral intake. He is lethargic with sunken eyes and delayed capillary refill and is treated with rapid IV 0.9% saline for dehydration. Eight hours later, after perfusion improves, he suddenly develops generalized tonic–clonic seizures. What is the most likely cause of his seizures?

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