I HUMAN WEEK 7 NURS 2026 15 YEAR
OLD MALE PRESENTING WITH ACUTE
ABDOMINAL PAIN AT OUTPATIENT
PEDIAT
Patient Introduction & Demographics
• Name: Jason K. (fictional for case purposes)
• Age: 15 years
• Sex: Male
, • Grade/School Level: 10th grade
• Presenting Complaint: “My stomach hurts really bad.”
• Location/Setting: Outpatient pediatric clinic
• Accompanied By: Mother
• Date of Visit: [Insert date]
• Vital Signs at Triage:
o Temperature: 100.4°F (38°C)
o Heart Rate: 110 bpm
o Blood Pressure: 112/68 mmHg
o Respiratory Rate: 20/min
o Oxygen Saturation: 98% on room air
• Past Medical History: No known chronic illnesses
• Surgical History: None
• Allergies: No known drug allergies (NKDA)
• Medications: None
• Immunizations: Up to date
• Family History: Non-contributory; no history of inflammatory bowel disease or surgical
emergencies
• Social History: Lives with parents, active in school sports (soccer), denies tobacco, alcohol, or
drug use
• Reason for Visit (in own words): “It started suddenly around my belly, and it’s really sharp near
the lower right side.”
Perfect! Let’s create a detailed HPI and Past Medical History for Jason, the 15-year-old male with acute
abdominal pain. I’ll include a clear timeline, symptom description, and associated features, formatted in
a way appropriate for Walden University NURS 2026.
History of Present Illness (HPI)
Jason K., a 15-year-old male, presents with acute onset abdominal pain that started approximately 6
hours prior to arrival at the clinic. According to the patient and his mother:
, • Location: Pain initially started around the periumbilical region but has since migrated to the
right lower quadrant (RLQ).
• Character: Describes the pain as sharp and cramping.
• Severity: Rates the pain as 8/10 on the pediatric pain scale.
• Timing/Duration: Pain started suddenly in the afternoon and has persisted without relief.
• Associated Symptoms:
o Nausea and one episode of vomiting since onset
o Low-grade fever reported by mother at home (~100°F)
o Loss of appetite
o No diarrhea or constipation
o Denies urinary symptoms (dysuria, frequency)
• Aggravating Factors: Movement worsens the pain, especially walking or coughing.
• Alleviating Factors: Lying still provides some minimal relief.
• Previous Episodes: Denies similar prior episodes of abdominal pain.
Timeline:
Time Symptom/Event
~6 hours ago Sudden onset periumbilical pain
~5 hours ago Pain migrates to RLQ, mild nausea begins
~4 hours ago Vomiting episode, mild fever noted
~3 hours ago Pain persists, patient becomes less active
Arrival at clinic Severe RLQ pain, no bowel movement changes, no urinary complaints
Past Medical History (PMH)
• No chronic medical conditions
• No prior hospitalizations
• No previous surgeries
• Medications: None
• Allergies: NKDA
OLD MALE PRESENTING WITH ACUTE
ABDOMINAL PAIN AT OUTPATIENT
PEDIAT
Patient Introduction & Demographics
• Name: Jason K. (fictional for case purposes)
• Age: 15 years
• Sex: Male
, • Grade/School Level: 10th grade
• Presenting Complaint: “My stomach hurts really bad.”
• Location/Setting: Outpatient pediatric clinic
• Accompanied By: Mother
• Date of Visit: [Insert date]
• Vital Signs at Triage:
o Temperature: 100.4°F (38°C)
o Heart Rate: 110 bpm
o Blood Pressure: 112/68 mmHg
o Respiratory Rate: 20/min
o Oxygen Saturation: 98% on room air
• Past Medical History: No known chronic illnesses
• Surgical History: None
• Allergies: No known drug allergies (NKDA)
• Medications: None
• Immunizations: Up to date
• Family History: Non-contributory; no history of inflammatory bowel disease or surgical
emergencies
• Social History: Lives with parents, active in school sports (soccer), denies tobacco, alcohol, or
drug use
• Reason for Visit (in own words): “It started suddenly around my belly, and it’s really sharp near
the lower right side.”
Perfect! Let’s create a detailed HPI and Past Medical History for Jason, the 15-year-old male with acute
abdominal pain. I’ll include a clear timeline, symptom description, and associated features, formatted in
a way appropriate for Walden University NURS 2026.
History of Present Illness (HPI)
Jason K., a 15-year-old male, presents with acute onset abdominal pain that started approximately 6
hours prior to arrival at the clinic. According to the patient and his mother:
, • Location: Pain initially started around the periumbilical region but has since migrated to the
right lower quadrant (RLQ).
• Character: Describes the pain as sharp and cramping.
• Severity: Rates the pain as 8/10 on the pediatric pain scale.
• Timing/Duration: Pain started suddenly in the afternoon and has persisted without relief.
• Associated Symptoms:
o Nausea and one episode of vomiting since onset
o Low-grade fever reported by mother at home (~100°F)
o Loss of appetite
o No diarrhea or constipation
o Denies urinary symptoms (dysuria, frequency)
• Aggravating Factors: Movement worsens the pain, especially walking or coughing.
• Alleviating Factors: Lying still provides some minimal relief.
• Previous Episodes: Denies similar prior episodes of abdominal pain.
Timeline:
Time Symptom/Event
~6 hours ago Sudden onset periumbilical pain
~5 hours ago Pain migrates to RLQ, mild nausea begins
~4 hours ago Vomiting episode, mild fever noted
~3 hours ago Pain persists, patient becomes less active
Arrival at clinic Severe RLQ pain, no bowel movement changes, no urinary complaints
Past Medical History (PMH)
• No chronic medical conditions
• No prior hospitalizations
• No previous surgeries
• Medications: None
• Allergies: NKDA
