Dry Mucous Membranes in Pediatrics — Case | Pediatric Emergency | SMLE Q#1288

SMLE Question #1288

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A previously healthy 7-year-old boy is brought to the emergency department after 2 hours of profuse vomiting and diarrhea. He is alert but appears lethargic, with dry mucous membranes and decreased urine output. The clinician is assessing for hypovolemic shock and wants to distinguish compensated from decompensated shock. Which clinical finding is most consistent with compensated shock?

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