This document summarizes a case presentation of a 4-year-old boy named MSR who was admitted to the hospital due to severe diarrhea, fever, and vomiting. He developed diarrhea and loss of appetite 2 days before admission. On the day of admission he developed a high fever of 39.2 degrees Celsius and vomiting. Upon examination at the hospital, he appeared stable with no abnormalities found other than symptoms related to his gastrointestinal issues.

1. Case presentation Presented by: Nor Aini binti Mohamad Mohd Izaan Hassan bin Haron Adam Safin bin Abdul Mutti

7. Systemic Review Impression : No abnormal finding except for GIT part System Complaints CVS No pedal edema, no cyanosis Resp No SOB, no cough, no hemoptysis Genitourinary Normal urine output, no hematuria CNS No LOC, no drowsiness, no blurring vision, no altered speech, no headache ENT No runny nose, no ear discharge, no feeding difficulty, no dysphagia MSK No abnormal movement, no joint swelling, no joint pain Endocrine No tremor, no heat intolerance Hematological No gum bleeding or epistaxis

18. Mohd Izaan Hassan bin Haron 2008402242

31. Provisional diagnosis Acute gastroenteritis Point to support – diarrhea vomiting fever

37. Adam Safin bin Abdul Mutti 2008402544

46. Sunken fontanelle Eyes sunken and tearless Reduced skin turgor