I-HUMAN Pediatric Case Study: Buddy (BT), 5-Year-Old Male
With Ear Pain and Fever | Comprehensive and Expert Clinical
Review
Comprehensive I-HUMAN pediatric case study of Buddy (BT), a 5-year-old male
presenting with ear pain and fever. Includes a detailed SOAP note, differential diagnosis,
evidence-based management of acute otitis media, and expert clinical feedback for nursing
students.
• I-HUMAN pediatric case study
• Buddy BT iHuman case
• 5-year-old male ear pain
• Acute otitis media
• Pediatric nursing case study
Patient: Buddy (BT)
Age: 5 years
Sex: Male
Chief Complaint: Ear pain and fever
Patient Information
• Name: Buddy T. (BT)
• Age: 5 years
• Sex: Male
• Date of Encounter: [Simulation Date]
• Setting: Pediatric Primary Care / Urgent Care
• Source of History: Parent (reliable historian)
, S – Subjective
Chief Complaint (CC):
“My ear hurts.”
History of Present Illness (HPI):
BT is a 5-year-old male who presents with right ear pain that began 2 days ago. His parent
reports the pain has progressively worsened and is associated with low-grade fever, irritability,
and difficulty sleeping. The child has been tugging at his right ear and crying intermittently.
The parent reports BT had a recent upper respiratory infection with nasal congestion and
cough about one week ago. He has had decreased appetite but is tolerating fluids.
Acetaminophen provided temporary relief. No ear drainage noted.
The child denies sore throat, vomiting, diarrhea, or rash.
Associated Symptoms:
• Fever
• Irritability
• Decreased appetite
• Nasal congestion
Denies:
• Ear discharge
• Vomiting or diarrhea
• Severe headache
• Neck stiffness
Past Medical History (PMH):
• Recurrent upper respiratory infections
• No chronic illnesses
Past Surgical History (PSH):
• None
With Ear Pain and Fever | Comprehensive and Expert Clinical
Review
Comprehensive I-HUMAN pediatric case study of Buddy (BT), a 5-year-old male
presenting with ear pain and fever. Includes a detailed SOAP note, differential diagnosis,
evidence-based management of acute otitis media, and expert clinical feedback for nursing
students.
• I-HUMAN pediatric case study
• Buddy BT iHuman case
• 5-year-old male ear pain
• Acute otitis media
• Pediatric nursing case study
Patient: Buddy (BT)
Age: 5 years
Sex: Male
Chief Complaint: Ear pain and fever
Patient Information
• Name: Buddy T. (BT)
• Age: 5 years
• Sex: Male
• Date of Encounter: [Simulation Date]
• Setting: Pediatric Primary Care / Urgent Care
• Source of History: Parent (reliable historian)
, S – Subjective
Chief Complaint (CC):
“My ear hurts.”
History of Present Illness (HPI):
BT is a 5-year-old male who presents with right ear pain that began 2 days ago. His parent
reports the pain has progressively worsened and is associated with low-grade fever, irritability,
and difficulty sleeping. The child has been tugging at his right ear and crying intermittently.
The parent reports BT had a recent upper respiratory infection with nasal congestion and
cough about one week ago. He has had decreased appetite but is tolerating fluids.
Acetaminophen provided temporary relief. No ear drainage noted.
The child denies sore throat, vomiting, diarrhea, or rash.
Associated Symptoms:
• Fever
• Irritability
• Decreased appetite
• Nasal congestion
Denies:
• Ear discharge
• Vomiting or diarrhea
• Severe headache
• Neck stiffness
Past Medical History (PMH):
• Recurrent upper respiratory infections
• No chronic illnesses
Past Surgical History (PSH):
• None
