Dehydration and tachycardia
Bob was 18, a high school senior, a good student, played soccer and ran track, excelling at the 400. He was in the office with his mother to follow up after an ED visit and brief hospital stay earlier in the week. The discharge sheet they brought in noted that he had responded promptly to treatment for a viral illness with vomiting, diarrhea and dehydration (VDD), but because of an unexplained tachycardia he was advised to be seen ASAP to obtain a referral for cardiac evaluation.
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