Hector Jimenez-Walker - Pediatric Case- 6 week old-

Hector Jimenez-Walker - Pediatric Case- 6 week old- Hector Jimenez-Walker, 6-week-old infant who presented to the ED with acute dehydration and a history of projectile vomiting, irritability, and low urine output. Hector’s mother, who is an adult orthopedic surgeon, and father bring Hector to the ED. Hector’s father, Paul Walker, is the primary caregiver and said he visited their pediatrician one week ago due to concerns over frequent vomiting after feeds. Hector’s mother, Helena Jimenez, is breastfeeding and went back to work last week. Hector takes the pumped milk in a bottle well and the pediatrician recommended frequent burping, keeping upright after feeds, and return to the doctor in one week if no improvement. Despite following these instructions, the vomiting became more projectile and larger volumes over the weekend, causing the parents to seek out ED care. Hector’s last wet diaper was 6 hours ago, he has no tears, and his mucus membranes are pale and dry. Hector’s vital signs are: Heart rate 164 beats/minute, 35 breaths/minute, 88/48 mmHg, 38o C./100.4o F. Hector is somewhat lethargic, crying and whimpering with intervention and Hector has a weak cry. The parents state this is their first child.