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108 TX Plan – Toddler Sick Visit: Gastrointestinal (30 Months Old, Zachary LaFontaine) | Complete Treatment Plan, Assessment, SOAP Note, Differential Diagnosis & Management Guide | Pediatric GI Sick Visit | Verified Answers | Latest 2026/2027 Update

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Prepare for pediatric primary care, family nurse practitioner (FNP), and clinical assessment coursework with this comprehensive 108 TX Plan – Toddler Sick Visit: Gastrointestinal (30 Months Old, Zachary LaFontaine) study guide. This resource focuses on the evaluation, assessment, diagnosis, treatment planning, and follow-up management of a toddler presenting with acute gastrointestinal symptoms, including vomiting, diarrhea, dehydration risk, and supportive care considerations. The case commonly centers on a 30-month-old child presenting with symptoms consistent with acute gastroenteritis, requiring comprehensive assessment, hydration management, differential diagnosis evaluation, caregiver education, and evidence-based treatment planning. Common differentials include viral gastroenteritis, foodborne illness, bacterial infection, urinary tract infection, constipation-related symptoms, intussusception, and other pediatric gastrointestinal conditions. Topics Covered: Pediatric Gastrointestinal Assessment History of Present Illness (HPI) Review of Systems (ROS) Physical Examination Findings Hydration and Dehydration Assessment Acute Gastroenteritis Management Oral Rehydration Therapy (ORT) Differential Diagnosis Development Pediatric Medication Considerations Family and Caregiver Education Follow-Up and Return Precautions SOAP Note Documentation Evidence-Based Pediatric Treatment Planning This study guide helps learners review key concepts in pediatric primary care, including hydration management, symptom monitoring, clinical decision-making, patient safety, and age-appropriate treatment recommendations. Sources describing this case emphasize oral rehydration as a primary intervention, assessment of dehydration severity, monitoring fluid intake/output, and identifying red-flag symptoms requiring escalation of care. 2026/2027 Features: Complete Treatment Plan Review Verified Questions & Answers SOAP Note and Documentation Support Pediatric Clinical Reasoning Practice Differential Diagnosis Review Caregiver Teaching and Education Acute Care Decision-Making Strategies Latest 2026/2027 Update

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lOMoARcPSD|27309302




4/12/23, 9:15 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier




Follow Up Sick Visit: Musculoskeletal Results | Completed
Primary Care Nursing - FNP II - Advanced Primary Care Adult Content - January 2023, NUR 532




Your Results Turn In (/assignment_attempts/14326091/choose)

Lab Pass (/assignment_attempts/14326091/lab_pass.pd




Overview
Subjective Data Collection: 49 of 57 (86.0%)
Transcript

Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you found.
Hover over the Patient Data items Indicates an item that
Education & Empathy below to reveal important
is available to be found.
information, including Pro Tips and
Documentation Example Questions.

Treatment Plan

Reflection
Category Scored Items Patient Data
Student Survey Not Scored

Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.


Chief Complaint


Asked about chief complaint Reports fatigue
Reports joint pain



History of Present Illness


Asked about onset of pain Reports having joint pain for 3 months



Asked about location of pain Reports pain in hands and wrists
Reports full body pain



Asked about timing of pain Reports that the pain is worst in the
morning when she wakes up


https://app.shadowhealth.com/assignment_attempts/14326091 1/6

, lOMoARcPSD|27309302




4/12/23, 9:15 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Reports that the pain is constant



Asked about characteristics of pain Reports pain in wrists and ha
stiff
Reports full body pain is stiff



Asked about aggravating factors of pain Reports that holding her coff
difficult
Reports pain is worse after lo
holding art tools
Reports pain is worse after lo



Asked about relieving factors of pain Reports that hot showers ma



Asked about severity of pain Reports pain is currently at 2
Reports pain was 3-4 before



Asked about onset of fatigue Reports 3 months of fatigue



Asked about timing of fatigue Reports that the fatigue is co
Reports fatigue worsens as t



Asked about aggravating factors for fatigue Denies aggravating factors fo



Asked about relieving factors for fatigue Denies relieving factors for fa



Asked about impact on daily activities Reports daily activities are do
Denies pain with daily activiti
Reports daily activities take lo
Reports feeling drained after



Asked about perceived cause of fatigue Reports feeling that it might b



Past Medical History


Asked about allergies Reports codeine allergy
Reports codeine reaction is r
Denies latex allergy
Denies food allergies
Denies environmental allergie



Asked about existing health conditions Denies existing health condit



Asked about history of mental health Denies history of mental heal




https://app.shadowhealth.com/assignment_attempts/14326091 2/6

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