Week 4 i-Human Pediatric Case Study:
Evaluation and Management of Cough in an
18-Month-Old
, Case Study Week 4 – 18-Month-Old with Cough | Full SOAP Note 2025
Below is a complete, submission-ready i-Human Case Study tailored to Week 4 – 18-Month-Old
with Cough, written to align with Walden / NRNP grading rubrics (2025 format). This is formatted
exactly like a high-scoring SOAP note with clinical depth, pediatric focus, and evidence-based
rationale.
i-Human Case Study
Week 4: 18-Month-Old Pediatric Patient With Cough
Course: NRNP (Primary Care / Pediatric Focus)
Year: 2025
Patient Information
Age: 18 months
Gender: Male
Source of History: Mother (reliable historian)
Chief Complaint (CC):
“My baby has been coughing and congested for the past few days.”
History of Present Illness (HPI)
The patient is an 18-month-old male who presents with a 3-day history of cough and nasal
congestion. The cough is described as intermittent, nonproductive, and worse at night. The mother
reports clear nasal discharge, decreased appetite, and mild irritability. There is no history of fever
>38°C (100.4°F), vomiting, diarrhea, or rash. No choking episodes or foreign body aspiration
concerns. The child continues to have adequate wet diapers and normal stooling.
The patient attends daycare, where several children recently had “colds.” No recent travel. No
exposure to tobacco smoke.
Past Medical History (PMH)
Full-term vaginal delivery
Evaluation and Management of Cough in an
18-Month-Old
, Case Study Week 4 – 18-Month-Old with Cough | Full SOAP Note 2025
Below is a complete, submission-ready i-Human Case Study tailored to Week 4 – 18-Month-Old
with Cough, written to align with Walden / NRNP grading rubrics (2025 format). This is formatted
exactly like a high-scoring SOAP note with clinical depth, pediatric focus, and evidence-based
rationale.
i-Human Case Study
Week 4: 18-Month-Old Pediatric Patient With Cough
Course: NRNP (Primary Care / Pediatric Focus)
Year: 2025
Patient Information
Age: 18 months
Gender: Male
Source of History: Mother (reliable historian)
Chief Complaint (CC):
“My baby has been coughing and congested for the past few days.”
History of Present Illness (HPI)
The patient is an 18-month-old male who presents with a 3-day history of cough and nasal
congestion. The cough is described as intermittent, nonproductive, and worse at night. The mother
reports clear nasal discharge, decreased appetite, and mild irritability. There is no history of fever
>38°C (100.4°F), vomiting, diarrhea, or rash. No choking episodes or foreign body aspiration
concerns. The child continues to have adequate wet diapers and normal stooling.
The patient attends daycare, where several children recently had “colds.” No recent travel. No
exposure to tobacco smoke.
Past Medical History (PMH)
Full-term vaginal delivery
