i-Human Pediatric Case Study: Courtney Graham – 19-Month-
Old Female with Acute Vomiting and Diarrhea | Complete
Comprehensive Assessment & Management Guide | Full HPI,
ROS, Physical Exam
X
Pediatric Case Study: Courtney Graham
Patient Information
Name: Courtney Graham
Age: 19 months
Gender: Female
Weight: 11.8 kg (26 lb)
Location: Outpatient Pediatric Clinic
Chief Complaint: Vomiting and diarrhea for 2 days
, History of Present Illness (HPI)
Courtney Graham is a 19-month-old female brought to the pediatric clinic by her mother with
complaints of vomiting and diarrhea for the past 48 hours.
Mother reports:
• Vomiting began approximately 2 days ago.
• Initially occurred 5–6 times per day.
• Non-bloody and non-bilious.
• Associated with decreased oral intake.
• Diarrhea started shortly after vomiting.
• Loose watery stools approximately 6–8 times daily.
• No blood or mucus in stools.
• Mild fever yesterday (maximum 100.8°F/38.2°C).
• Decreased urine output noted over the last 24 hours.
• Child appears tired and less active than usual.
• No known sick contacts.
• No recent travel.
• No recent antibiotic use.
• Immunizations are current.
Mother denies:
• Rash
• Seizures
• Difficulty breathing
• Persistent abdominal pain
• Bloody stools
• Bilious vomiting
Old Female with Acute Vomiting and Diarrhea | Complete
Comprehensive Assessment & Management Guide | Full HPI,
ROS, Physical Exam
X
Pediatric Case Study: Courtney Graham
Patient Information
Name: Courtney Graham
Age: 19 months
Gender: Female
Weight: 11.8 kg (26 lb)
Location: Outpatient Pediatric Clinic
Chief Complaint: Vomiting and diarrhea for 2 days
, History of Present Illness (HPI)
Courtney Graham is a 19-month-old female brought to the pediatric clinic by her mother with
complaints of vomiting and diarrhea for the past 48 hours.
Mother reports:
• Vomiting began approximately 2 days ago.
• Initially occurred 5–6 times per day.
• Non-bloody and non-bilious.
• Associated with decreased oral intake.
• Diarrhea started shortly after vomiting.
• Loose watery stools approximately 6–8 times daily.
• No blood or mucus in stools.
• Mild fever yesterday (maximum 100.8°F/38.2°C).
• Decreased urine output noted over the last 24 hours.
• Child appears tired and less active than usual.
• No known sick contacts.
• No recent travel.
• No recent antibiotic use.
• Immunizations are current.
Mother denies:
• Rash
• Seizures
• Difficulty breathing
• Persistent abdominal pain
• Bloody stools
• Bilious vomiting
