Pediatric i-Human Case Study:
Acute Cough in an 18-Month-
Old Child
, i-Human Case Study Week 4
18-Month-Old Child Presenting With Cough
Patient Identification
Age: 18 months
Gender: Pediatric patient
Accompanied by: Primary caregiver
Setting: Primary Care / Outpatient Clinic
Reason for Encounter (Chief Complaint):
“Cough”
Subjective
History of Present Illness (HPI)
The patient is an 18-month-old child brought in by the caregiver for evaluation
of a cough. The caregiver reports that the cough began approximately 3 days
ago and has been gradually worsening. The cough is described as intermittent,
non-productive, and occurs more frequently at night.
Associated symptoms include nasal congestion and rhinorrhea. The caregiver
denies fever, vomiting, or diarrhea. The child has had a slightly decreased
appetite, but is drinking fluids adequately with normal urine output.
There is no history of wheezing, shortness of breath, cyanosis, choking
episodes, or apnea. The caregiver denies known exposure to ill contacts,
although the child attends daycare. There has been no recent travel and no
concern for foreign body ingestion.
Acute Cough in an 18-Month-
Old Child
, i-Human Case Study Week 4
18-Month-Old Child Presenting With Cough
Patient Identification
Age: 18 months
Gender: Pediatric patient
Accompanied by: Primary caregiver
Setting: Primary Care / Outpatient Clinic
Reason for Encounter (Chief Complaint):
“Cough”
Subjective
History of Present Illness (HPI)
The patient is an 18-month-old child brought in by the caregiver for evaluation
of a cough. The caregiver reports that the cough began approximately 3 days
ago and has been gradually worsening. The cough is described as intermittent,
non-productive, and occurs more frequently at night.
Associated symptoms include nasal congestion and rhinorrhea. The caregiver
denies fever, vomiting, or diarrhea. The child has had a slightly decreased
appetite, but is drinking fluids adequately with normal urine output.
There is no history of wheezing, shortness of breath, cyanosis, choking
episodes, or apnea. The caregiver denies known exposure to ill contacts,
although the child attends daycare. There has been no recent travel and no
concern for foreign body ingestion.
