Courtney Graham NR 602 : 18-Month-Old with Vomiting and Diarrhea Pediatric Gastroenteritis Case – HPI, ROS, Physical Exam, and Treatment Plan Chamberlain college of Nursing 2026.

Complete NR 602 i-Human Patients case study for Courtney Graham, an 18-month-old female presenting to an outpatient clinic with vomiting and diarrhea of 36 hours' duration. This detailed academic write-up is optimized for Test Mode and includes: full patient demographics (height 76 cm, weight 11.8 kg), comprehensive history of present illness with associated symptoms (low-grade fever, irritability, decreased oral intake, reduced wet diapers), a 70-question diagnostic interview organized by category (vomiting characteristics, diarrhea details, hydration status, intake/output, pain and behavior, fever/infection sources, past medical history, medications/allergies, diet/feeding, social/environmental factors, and family history), complete review of systems, past medical history (previously healthy, full-term birth, no surgeries or hospitalizations), medication review (none current or recent), allergy status (NKDA), social history (lives with parents and sibling, part-time daycare, one healthy family dog, no tobacco/alcohol exposure), family history (mother, father, sibling, grandparents all healthy with no IBD, celiac, or cystic fibrosis), learning objectives for NR 602, general appearance findings (alert but tired, mildly fussy, consolable, slightly dry mucous membranes, no tears with crying), full physical examination by body system (vitals: HR 130, RR 28, temp 99.8°F, BP 90/60, SpO2 98%; HEENT: dry lips, closed fontanelle, normal TMs; CV: regular rate and rhythm, no murmur; Resp: clear to auscultation; Abdomen: soft, non-distended, mild diffuse tenderness, hyperactive bowel sounds; GU: normal female; Skin: warm, dry except lips, cap refill 2 seconds, no tenting; Neuro: grossly intact), assessment with primary diagnosis of acute viral gastroenteritis with mild dehydration (3-5%), differential diagnoses including bacterial enteritis, intussusception, UTI, COVID-19/influenza, and FPIES, diagnostic plan (BMP, UA, possible stool studies), treatment plan (oral rehydration with Pedialyte, BRAT diet advancement, no antidiarrheals, acetaminophen PRN for fever), return precautions (blood in vomit/stool, bilious emesis, severe abdominal pain, lethargy, no wet diaper in 6 hours, dry mouth/sunken eyes, fever 104°F), and anticipatory guidance for parents. Essential resource for pediatric primary care nurse practitioner students completing the i-Human assignment in Test Mode where no feedback is provided after each section. Perfect for exam preparation, clinical reasoning practice, and understanding dehydration assessment in toddlers.