Samantha Graves I-Human Case Study – 18-Month-Old
Vomiting and Diarrhea | Chamberlain MSN | Pediatric
Gastroenteritis & Moderate Dehydration | HPI OLDCARTS, ROS,
Physical Exam, Differential Diagnosis, Management Plan (ORT,
BRAT, Medications) | Instant PDF Download
Samantha Graves is an 18-month-old female who presents to the pediatric clinic with a two-day history of
vomiting (3–4 times/day) and watery diarrhea (5–6 times/day) following daycare exposure to similar symptoms.
This case study explores the assessment of mild dehydration, the clinical reasoning behind diagnosing acute viral
gastroenteritis, and the development of a family-centered treatment plan emphasizing oral rehydration,
symptom management, and red flag recognition for MSN-level practice
,Reason for Encounter
Start with open-ended patient-centric questions.
Asked X Not asked
Graded Approach Question Response
She has been vomiting and
having diarrhea in her diaper for
two days. She doesn't really want
to eat anything either and I'm
pretty worried. Her sister had
similar
How can I help her today? (witness) symptoms last week, especially
the diarrhea, but she got better
within 2 days. She also goes to
daycare but the teachers have
cc said that no other children have
had symptoms like this.
Does she have any other
No not really. I just want her to
start symptoms or concerns we eating again. should discuss?
(witness)
Assoc sx
Has she been having fevers?
Assoc sx (witness)
Does she have bloody stools?
Assoc sx (witness)
OLD-CARTS for the HPI
Asked X Not asked
Graded Approach Question Response
, Onset
Location
Duration
Characteristics
Like milk and small bits of food—
just stuff she ate.
What does her vomit look like?
Aggravating (witness)
Relieving It's only been two days. But she
vomits 4-5 times per day.
Timing/Treatments
How often is she nauseous or
vomiting? (witness)
X Tlming/Treatments This morning.
When did she last urinate?
Severity (witness)
When and what did she last eat? She hasn't really wanted to eat
(witness) anything these last two days.
When and what did she last drink? This morning she had about an
(witness) ounce of milk and some pedialyte_
PMH, FH, SH as Needed
Asked X Not asked
Graded Approach Question Response
Is she taking any prescription
Uh.._no_
medications? (witness)
She usually has about 5-6 wet
How many wet diapers does your
diapers per day, but for the last
child make per day? (witness)
two days, she has only had about 4
wet diapers per day.
How many stool diapers does your Before this she used to have two
child have per day? (witness) formed stools a day and now for
the last two days she's had watery
stools three. maybe four times a
day.
Vomiting and Diarrhea | Chamberlain MSN | Pediatric
Gastroenteritis & Moderate Dehydration | HPI OLDCARTS, ROS,
Physical Exam, Differential Diagnosis, Management Plan (ORT,
BRAT, Medications) | Instant PDF Download
Samantha Graves is an 18-month-old female who presents to the pediatric clinic with a two-day history of
vomiting (3–4 times/day) and watery diarrhea (5–6 times/day) following daycare exposure to similar symptoms.
This case study explores the assessment of mild dehydration, the clinical reasoning behind diagnosing acute viral
gastroenteritis, and the development of a family-centered treatment plan emphasizing oral rehydration,
symptom management, and red flag recognition for MSN-level practice
,Reason for Encounter
Start with open-ended patient-centric questions.
Asked X Not asked
Graded Approach Question Response
She has been vomiting and
having diarrhea in her diaper for
two days. She doesn't really want
to eat anything either and I'm
pretty worried. Her sister had
similar
How can I help her today? (witness) symptoms last week, especially
the diarrhea, but she got better
within 2 days. She also goes to
daycare but the teachers have
cc said that no other children have
had symptoms like this.
Does she have any other
No not really. I just want her to
start symptoms or concerns we eating again. should discuss?
(witness)
Assoc sx
Has she been having fevers?
Assoc sx (witness)
Does she have bloody stools?
Assoc sx (witness)
OLD-CARTS for the HPI
Asked X Not asked
Graded Approach Question Response
, Onset
Location
Duration
Characteristics
Like milk and small bits of food—
just stuff she ate.
What does her vomit look like?
Aggravating (witness)
Relieving It's only been two days. But she
vomits 4-5 times per day.
Timing/Treatments
How often is she nauseous or
vomiting? (witness)
X Tlming/Treatments This morning.
When did she last urinate?
Severity (witness)
When and what did she last eat? She hasn't really wanted to eat
(witness) anything these last two days.
When and what did she last drink? This morning she had about an
(witness) ounce of milk and some pedialyte_
PMH, FH, SH as Needed
Asked X Not asked
Graded Approach Question Response
Is she taking any prescription
Uh.._no_
medications? (witness)
She usually has about 5-6 wet
How many wet diapers does your
diapers per day, but for the last
child make per day? (witness)
two days, she has only had about 4
wet diapers per day.
How many stool diapers does your Before this she used to have two
child have per day? (witness) formed stools a day and now for
the last two days she's had watery
stools three. maybe four times a
day.
