, ## FULL CLINICAL CASE: LAYLA STEVENS
### 1. Patient Demographics
- **Name:** Layla Stevens
- **Age:** 16 months
- **Sex:** Female
- **Weight:** 11.8 kg (26.0 lbs)
- **Height:** 81.3 cm (32.0 in) – estimated from provided data
- **Reason for Encounter:** "Vomiting and diarrhea"
- **Setting:** Outpatient clinic with laboratory capabilities
- **Historian:** Mother (reliable)
### 2. History of Presenting Illness (HPI)
Layla is a 16-month-old female brought in by her mother for a 24-hour history of
vomiting and diarrhea. The illness began approximately 24 hours ago with the onset of
vomiting. The mother reports that Layla has had **6 episodes of non-bilious, non-
projectile vomiting** over the past 24 hours. The vomiting is described as containing
undigested food and clear fluid; no blood or bile has been noted. Approximately 6 hours
after the vomiting started, Layla developed **watery, non-bloody diarrhea** with **8
episodes** in the past 18 hours. The mother describes the stools as "very loose" and
"explosive" with a foul odor but no visible blood or mucus. The mother denies any sick
contacts at daycare, but notes that several children in her playgroup have been "out
sick" recently with similar symptoms.
The mother reports that Layla has been **febrile** with a maximum temperature of
**101.2°F (38.4°C)** per axillary measurement. She has been **lethargic** and less
playful than usual, with periods of fussiness and irritability. The mother has attempted to
give Pedialyte but states that Layla "spits it out" and has only taken **small sips** of
water. Her oral intake has been **significantly decreased** over the past 12 hours, with
only **2 wet diapers** in the last 24 hours (compared to her usual 6–8 per day). The
mother is concerned about dehydration and reports that Layla's eyes appear "sunken"
and that she has been crying without tears.
### 1. Patient Demographics
- **Name:** Layla Stevens
- **Age:** 16 months
- **Sex:** Female
- **Weight:** 11.8 kg (26.0 lbs)
- **Height:** 81.3 cm (32.0 in) – estimated from provided data
- **Reason for Encounter:** "Vomiting and diarrhea"
- **Setting:** Outpatient clinic with laboratory capabilities
- **Historian:** Mother (reliable)
### 2. History of Presenting Illness (HPI)
Layla is a 16-month-old female brought in by her mother for a 24-hour history of
vomiting and diarrhea. The illness began approximately 24 hours ago with the onset of
vomiting. The mother reports that Layla has had **6 episodes of non-bilious, non-
projectile vomiting** over the past 24 hours. The vomiting is described as containing
undigested food and clear fluid; no blood or bile has been noted. Approximately 6 hours
after the vomiting started, Layla developed **watery, non-bloody diarrhea** with **8
episodes** in the past 18 hours. The mother describes the stools as "very loose" and
"explosive" with a foul odor but no visible blood or mucus. The mother denies any sick
contacts at daycare, but notes that several children in her playgroup have been "out
sick" recently with similar symptoms.
The mother reports that Layla has been **febrile** with a maximum temperature of
**101.2°F (38.4°C)** per axillary measurement. She has been **lethargic** and less
playful than usual, with periods of fussiness and irritability. The mother has attempted to
give Pedialyte but states that Layla "spits it out" and has only taken **small sips** of
water. Her oral intake has been **significantly decreased** over the past 12 hours, with
only **2 wet diapers** in the last 24 hours (compared to her usual 6–8 per day). The
mother is concerned about dehydration and reports that Layla's eyes appear "sunken"
and that she has been crying without tears.
