I HUMAN WEEK 4 NURS 2026 18 MONTH OLD FEMALE
PRESENTING WITH VOMITING AND DIARRHEA AT
OUTPATIENT PEDIATRIC CLINIC UTILIZING SYSTEMATIC
ASSESSMENT, DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-
BASED MANAGEMENT
,PATIENT INFORMATION
Age: 18 months
Sex: Female
Height: 31.5 in (80 cm) approx
Weight: 24.3 lb (11 kg) approx
Location: Outpatient pediatric clinic
Reason for Encounter: Vomiting and diarrhea
Explanation: Samantha is an 18-month-old female brought by her mother due to a 2-day history of
frequent vomiting and loose stools, associated with decreased oral intake and mild reduction in diaper
wetness, requiring clinical evaluation to assess hydration status and determine appropriate
management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient pediatric clinic visit
Chief Complaint Vomiting and diarrhea
Duration 2 days
Frequency Vomiting 4–5 times/day; diarrhea 3–4 loose watery stools/day
Associated Symptoms Decreased appetite; mildly reduced wet diapers
Aggravating Factors Oral intake (milk, food) can provoke vomiting
Relieving Factors Small sips of Pedialyte tolerated
Systemic Symptoms No fever, no cough, no abdominal tenderness
Patient Goals Hydration stabilization, symptom relief, identify cause, prevent complications
Explanation: The reason for encounter table outlines Samantha’s acute gastrointestinal symptoms, with
frequent vomiting and loose diarrhea over 2 days. There is decreased appetite and a slight reduction in
urine output indicated by fewer wet diapers, suggesting a concern for early dehydration. The family’s
goal is to identify the cause of symptoms and achieve safe hydration and recovery.
PRESENTING WITH VOMITING AND DIARRHEA AT
OUTPATIENT PEDIATRIC CLINIC UTILIZING SYSTEMATIC
ASSESSMENT, DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-
BASED MANAGEMENT
,PATIENT INFORMATION
Age: 18 months
Sex: Female
Height: 31.5 in (80 cm) approx
Weight: 24.3 lb (11 kg) approx
Location: Outpatient pediatric clinic
Reason for Encounter: Vomiting and diarrhea
Explanation: Samantha is an 18-month-old female brought by her mother due to a 2-day history of
frequent vomiting and loose stools, associated with decreased oral intake and mild reduction in diaper
wetness, requiring clinical evaluation to assess hydration status and determine appropriate
management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient pediatric clinic visit
Chief Complaint Vomiting and diarrhea
Duration 2 days
Frequency Vomiting 4–5 times/day; diarrhea 3–4 loose watery stools/day
Associated Symptoms Decreased appetite; mildly reduced wet diapers
Aggravating Factors Oral intake (milk, food) can provoke vomiting
Relieving Factors Small sips of Pedialyte tolerated
Systemic Symptoms No fever, no cough, no abdominal tenderness
Patient Goals Hydration stabilization, symptom relief, identify cause, prevent complications
Explanation: The reason for encounter table outlines Samantha’s acute gastrointestinal symptoms, with
frequent vomiting and loose diarrhea over 2 days. There is decreased appetite and a slight reduction in
urine output indicated by fewer wet diapers, suggesting a concern for early dehydration. The family’s
goal is to identify the cause of symptoms and achieve safe hydration and recovery.
