iHuman Case Study Week #7 Comprehensive 25-Year-Old Patient with Loose
Stools – In-Depth Clinical Assessment, Documentation & Expert Review
This Comprehensive iHuman Case Study Week #7 presents an expert-level clinical assessment of a 25-year-old
patient with loose stools, developed in a complete SOAP note format. The case emphasizes diagnostic reasoning,
gastrointestinal assessment, and evidence-based management, with a focus on Irritable Bowel Syndrome –
Diarrhea predominant (IBS-D).
Designed for nursing, nurse practitioner, physician assistant, and medical students, this case study mirrors
iHuman Virtual Patient Simulation standards and supports learners in mastering history-taking, differential
diagnosis, clinical judgment, and patient education. The expert review highlights key learning points, red-flag
exclusions, and best-practice treatment strategies aligned with current clinical guidelines.
• iHuman Case Study Week 7
• 25-year-old patient with loose stools
• iHuman gastrointestinal case
• Loose stools clinical assessment
•
Week #7 iHuman case study of a 25-year-old patient presenting with loose stools. Includes a detailed SOAP
note, differential diagnosis, dehydration assessment, and expert-reviewed treatment plan for nursing and
healthcare students.
• iHuman case study Week 7
• 25-year-old patient loose stools
• iHuman loose stools SOAP note
• Acute gastroenteritis nursing case study
,Chief Complaint: Loose stools
S – Subjective
Identifying Information
• Age: 25 years
• Gender: Adult (gender not specified)
• Ethnicity: Not specified
• Source of History: Patient
• Reliability: Reliable historian
Chief Complaint (CC)
“I’ve been having loose stools for the past few weeks.”
History of Present Illness (HPI)
, The patient is a 25-year-old adult who presents with loose stools occurring for approximately 3 weeks. The patient
reports having 3–5 bowel movements per day, described as loose to watery, brown in color, and non-bloody.
Symptoms began gradually and have persisted without resolution.
The patient notes intermittent lower abdominal cramping, relieved after bowel movements. Denies severe
abdominal pain. There is no associated fever, chills, nausea, or vomiting. The patient denies recent travel, antibiotic
use, or exposure to contaminated food or water.
The patient reports increased symptoms during periods of stress and after eating fatty or spicy foods. No nocturnal
diarrhea reported. No unintentional weight loss, but reports mild fatigue.
Associated Symptoms
• Positive:
o Abdominal cramping
o Bloating
o Increased stool frequency
• Negative:
o Fever
o Hematochezia
o Melena
o Steatorrhea
o Nausea or vomiting
o Dysphagia
o Night sweats
Past Medical History (PMH)
• No chronic medical conditions reported
• No prior gastrointestinal diagnoses
Past Surgical History (PSH)
• Denies any prior surgeries
Medications
• Occasional OTC antidiarrheal (loperamide) with partial relief
• No daily prescription medications
Allergies
• No known drug allergies (NKDA)
Family History
• Father: Hypertension
• Mother: Type 2 Diabetes
• No family history of inflammatory bowel disease, colorectal cancer, or celiac disease
Social History
Stools – In-Depth Clinical Assessment, Documentation & Expert Review
This Comprehensive iHuman Case Study Week #7 presents an expert-level clinical assessment of a 25-year-old
patient with loose stools, developed in a complete SOAP note format. The case emphasizes diagnostic reasoning,
gastrointestinal assessment, and evidence-based management, with a focus on Irritable Bowel Syndrome –
Diarrhea predominant (IBS-D).
Designed for nursing, nurse practitioner, physician assistant, and medical students, this case study mirrors
iHuman Virtual Patient Simulation standards and supports learners in mastering history-taking, differential
diagnosis, clinical judgment, and patient education. The expert review highlights key learning points, red-flag
exclusions, and best-practice treatment strategies aligned with current clinical guidelines.
• iHuman Case Study Week 7
• 25-year-old patient with loose stools
• iHuman gastrointestinal case
• Loose stools clinical assessment
•
Week #7 iHuman case study of a 25-year-old patient presenting with loose stools. Includes a detailed SOAP
note, differential diagnosis, dehydration assessment, and expert-reviewed treatment plan for nursing and
healthcare students.
• iHuman case study Week 7
• 25-year-old patient loose stools
• iHuman loose stools SOAP note
• Acute gastroenteritis nursing case study
,Chief Complaint: Loose stools
S – Subjective
Identifying Information
• Age: 25 years
• Gender: Adult (gender not specified)
• Ethnicity: Not specified
• Source of History: Patient
• Reliability: Reliable historian
Chief Complaint (CC)
“I’ve been having loose stools for the past few weeks.”
History of Present Illness (HPI)
, The patient is a 25-year-old adult who presents with loose stools occurring for approximately 3 weeks. The patient
reports having 3–5 bowel movements per day, described as loose to watery, brown in color, and non-bloody.
Symptoms began gradually and have persisted without resolution.
The patient notes intermittent lower abdominal cramping, relieved after bowel movements. Denies severe
abdominal pain. There is no associated fever, chills, nausea, or vomiting. The patient denies recent travel, antibiotic
use, or exposure to contaminated food or water.
The patient reports increased symptoms during periods of stress and after eating fatty or spicy foods. No nocturnal
diarrhea reported. No unintentional weight loss, but reports mild fatigue.
Associated Symptoms
• Positive:
o Abdominal cramping
o Bloating
o Increased stool frequency
• Negative:
o Fever
o Hematochezia
o Melena
o Steatorrhea
o Nausea or vomiting
o Dysphagia
o Night sweats
Past Medical History (PMH)
• No chronic medical conditions reported
• No prior gastrointestinal diagnoses
Past Surgical History (PSH)
• Denies any prior surgeries
Medications
• Occasional OTC antidiarrheal (loperamide) with partial relief
• No daily prescription medications
Allergies
• No known drug allergies (NKDA)
Family History
• Father: Hypertension
• Mother: Type 2 Diabetes
• No family history of inflammatory bowel disease, colorectal cancer, or celiac disease
Social History
