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25-Year-Old Female Loose Stools Case Study: SOAP Note & Clinical Reasoning for NP Students | Walden University

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Review a detailed case study of a 25-year-old female with acute diarrhea. Includes a comprehensive SOAP note, differential diagnosis, diagnostic workup, and treatment plan for acute gastroenteritis. Ideal for nursing and medical students.

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WEEK #7 I-
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HUMAN CASE STUDY FOR A 25 YEARS OLD WITH
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LOOSE STOOLS – v v




2026 FOR WALDEN UNIVERSITY, WITH CLEAR C
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LINICAL REASONING, DIAGNOSTICS, DIFFEREN
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TIALS, MANAGEMENT AND SOAP NOTE
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,Comprehensive i-Human Case Analysis – Week 7 (2026) v v v v v v v




Walden University v



Outpatient Clinic With Laboratory Capabilities Patient:
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25-Year-Old Female
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Presenting Problem: Loose stools v v v




1. General Case Information v v




Case Title: v



Evaluation of Loose Stools in a Young Adult Female
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Case Summary:
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A 25-year-old female presents to an outpatient clinic with a several-
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day history of loose stools. This case focuses on differentiating infectious, inflam
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matory, functional, dietary, and medication-
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related causes of diarrhea, assessing hydration status, ruling out red-
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flag symptoms, and developing a safe, evidence-based outpatient treatment plan.
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Reason for Encounter:
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Persistent loose stools v v




Patient Demographics:
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 Age: 25 yearsv v



 Sex: Female v



 Height: 5’5” (165 cm) v v v

,  Weight: 140 lb (63.5 kg) v v v v




Case Mode: Learning mode
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Case Location: Outpatient clinic with laboratory capabilities
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Attempts Allowed: Multiple v v




2. Chief Complaint (CC) v v




“I’ve been having loose stools for several days.”
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3. History of Present Illness (HPI) v v v v




The patient is a 25-year-
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old female who reports 4 days of loose stools, occurring 5–
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6 times daily. She describes the stools as soft to watery, brown in color, and non-
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bloody, without mucus. Symptoms began gradually and have remained consistent
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without improvement. v




She reports mild, crampy lower abdominal discomfort, rated 3/10, which improve
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s after bowel movements. She endorses mild nausea but denies vomiting. She notes
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fatigue and slightly decreased appetite, but she has been able to tolerate oral fluids.
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She denies fever, chills, nocturnal diarrhea, recent antibiotic use, recent hospitalizatio
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n, or known sick contacts. She reports eating at a social gathering
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