Dry Oral Mucosa in Pediatrics — Case | Pediatric Endocrinology | SMLE Q#12203
SMLE Question #12203
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
An 11-year-old previously healthy boy has 2 days of profuse vomiting and watery diarrhoea. Over the last 12 hours, he has had markedly decreased oral intake, minimal urine output, and progressive lethargy. He is drowsy but arousable, with dry oral mucosa and capillary refill of 3 seconds. His breath has a fruity odour. Which of the following best explains his current condition?
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