www.stuvia.com/user/TestBankDepotX
@testbankdepotx iHuman Layla Stevens Case
Study | 18-Month-Old
Female with Vomiting &
Diarrhea | SOAP Note,
Differential Diagnosis, EHR
Documentation &
Management Guide
(Revised Edition)
Online2PDF.com
[COMPANY NAME]
,www.stuvia.com/user/TestBankDepotX
PEDIATRIC CLINICAL SIMULATION EHR
IHUMAN COMPREHENSIVE MASTER REPORT
Encounter Module: Layla Stevens | Acute Gastroenteritis & Hydration Evaluation
Patient Name: Layla Stevens Age / Gender: 18 Months / Female
Height / Weight: 2′ 6″ (76 cm) / 26.0 lb (11.8 kg) Baseline Weight: 27.3 lb (12.4 kg) (~5% acute loss)
Primary Historian: Mother (Witness) Clinical Setting: Pediatric Outpatient / Urgent Care
Clinic
Chief Complaint: Vomiting and diarrhea (2-day Primary Diagnosis: Viral Acute Gastroenteritis with
duration) Mild-to-Moderate Dehydration
Secondary diagnosis: Contact Diaper Dermatitis Immunization Status: Up-to-date (Rotavirus series
completed)
1. EXECUTIVE ENCOUNTER OVERVIEW & CASE FRAMEWORK
Clinical Scenario Description: Layla Stevens, an 18-month-old female, is presented to the pediatric outpatient
clinic by her mother due to an acute 48-hour history of frequent non-bilious, non-bloody vomiting and watery
diarrhea. The mother reports that symptoms started abruptly two mornings ago. Over the last 24 hours, Layla has
experienced 4 to 5 episodes of emesis and 5 to 6 large-volume watery stools, accompanied by low-grade fever,
irritability, and a noticeable decrease in fluid intake and urine output (only 2 lightly wet diapers in 24 hours).
Primary Assessment Objectives: The evaluation requires establishing the etiology of acute gastrointestinal
symptoms, differentiating surgical/obstructive causes (e.g., intussusception, appendicitis) from infectious causes,
accurately quantifying the degree of intravascular volume depletion using clinical pediatric scales, and formulating
an evidence-based oral rehydration and outpatient management plan.
i-human answers-------------------------------------------------------TESTBANKDEPOTX|| ©2026
, www.stuvia.com/user/TestBankDepotX
2. COMPLETE IHUMAN RATED HISTORY QUESTIONS (PART 1: CHIEF COMPLAINT &
HPI)
This section details the scored interview questions required during the encounter to achieve maximum credit on
history taking.
STATUS CATEGORY QUESTION ADMINISTERED MOTHER (HISTORIAN) RESPONSE
✓ CC SX How can I help her today? (witness) "Layla has been throwing up and having
really bad watery diarrhea for the past
two days. She's just so sluggish and
weak."
✓ ASSOC SX Does she have any other symptoms or "She's had a low fever on and off, and she
concerns we should discuss? refuses to eat her solid food. She won't
play with her toys like usual."
✓ ONSET When did her nausea and/or vomiting "It started 2 days ago in the morning. She
start? threw up about 4 to 5 times yesterday
and twice this morning."
✓ ONSET When did her diarrhea start? "The runny diapers started shortly after
she began throwing up two days ago."
✓ CHARACTER What does her vomit look like? Is there "It looks like clear fluid and mucus, or
any blood or green material? whatever water she tried to drink. No
blood and definitely no dark green or
yellow bile."
✓ CHARACTER Is there any blood in her stools or with "No blood at all. It's just very frequent,
her bowel movement? yellow-green watery liquid diarrhea."
✓ FREQUENCY How many loose stools or diarrhea "She's had about 5 to 6 watery diapers in
episodes has she had today? the last 24 hours. Her skin around her
diaper area is getting very red."
✓ AGGRAVATING Does eating or drinking make her "Yes, whenever I give her a cup of water
vomiting worse? or milk, she throws it right back up within
10 minutes."
i-human answers-------------------------------------------------------TESTBANKDEPOTX|| ©2026
@testbankdepotx iHuman Layla Stevens Case
Study | 18-Month-Old
Female with Vomiting &
Diarrhea | SOAP Note,
Differential Diagnosis, EHR
Documentation &
Management Guide
(Revised Edition)
Online2PDF.com
[COMPANY NAME]
,www.stuvia.com/user/TestBankDepotX
PEDIATRIC CLINICAL SIMULATION EHR
IHUMAN COMPREHENSIVE MASTER REPORT
Encounter Module: Layla Stevens | Acute Gastroenteritis & Hydration Evaluation
Patient Name: Layla Stevens Age / Gender: 18 Months / Female
Height / Weight: 2′ 6″ (76 cm) / 26.0 lb (11.8 kg) Baseline Weight: 27.3 lb (12.4 kg) (~5% acute loss)
Primary Historian: Mother (Witness) Clinical Setting: Pediatric Outpatient / Urgent Care
Clinic
Chief Complaint: Vomiting and diarrhea (2-day Primary Diagnosis: Viral Acute Gastroenteritis with
duration) Mild-to-Moderate Dehydration
Secondary diagnosis: Contact Diaper Dermatitis Immunization Status: Up-to-date (Rotavirus series
completed)
1. EXECUTIVE ENCOUNTER OVERVIEW & CASE FRAMEWORK
Clinical Scenario Description: Layla Stevens, an 18-month-old female, is presented to the pediatric outpatient
clinic by her mother due to an acute 48-hour history of frequent non-bilious, non-bloody vomiting and watery
diarrhea. The mother reports that symptoms started abruptly two mornings ago. Over the last 24 hours, Layla has
experienced 4 to 5 episodes of emesis and 5 to 6 large-volume watery stools, accompanied by low-grade fever,
irritability, and a noticeable decrease in fluid intake and urine output (only 2 lightly wet diapers in 24 hours).
Primary Assessment Objectives: The evaluation requires establishing the etiology of acute gastrointestinal
symptoms, differentiating surgical/obstructive causes (e.g., intussusception, appendicitis) from infectious causes,
accurately quantifying the degree of intravascular volume depletion using clinical pediatric scales, and formulating
an evidence-based oral rehydration and outpatient management plan.
i-human answers-------------------------------------------------------TESTBANKDEPOTX|| ©2026
, www.stuvia.com/user/TestBankDepotX
2. COMPLETE IHUMAN RATED HISTORY QUESTIONS (PART 1: CHIEF COMPLAINT &
HPI)
This section details the scored interview questions required during the encounter to achieve maximum credit on
history taking.
STATUS CATEGORY QUESTION ADMINISTERED MOTHER (HISTORIAN) RESPONSE
✓ CC SX How can I help her today? (witness) "Layla has been throwing up and having
really bad watery diarrhea for the past
two days. She's just so sluggish and
weak."
✓ ASSOC SX Does she have any other symptoms or "She's had a low fever on and off, and she
concerns we should discuss? refuses to eat her solid food. She won't
play with her toys like usual."
✓ ONSET When did her nausea and/or vomiting "It started 2 days ago in the morning. She
start? threw up about 4 to 5 times yesterday
and twice this morning."
✓ ONSET When did her diarrhea start? "The runny diapers started shortly after
she began throwing up two days ago."
✓ CHARACTER What does her vomit look like? Is there "It looks like clear fluid and mucus, or
any blood or green material? whatever water she tried to drink. No
blood and definitely no dark green or
yellow bile."
✓ CHARACTER Is there any blood in her stools or with "No blood at all. It's just very frequent,
her bowel movement? yellow-green watery liquid diarrhea."
✓ FREQUENCY How many loose stools or diarrhea "She's had about 5 to 6 watery diapers in
episodes has she had today? the last 24 hours. Her skin around her
diaper area is getting very red."
✓ AGGRAVATING Does eating or drinking make her "Yes, whenever I give her a cup of water
vomiting worse? or milk, she throws it right back up within
10 minutes."
i-human answers-------------------------------------------------------TESTBANKDEPOTX|| ©2026
