NRNP 6541 Week 4 i-Human
Case: 5-Year-Old Female with
Cough & DMS Abdomen Exam
5 | Latest 2025/2026 First-
Attempt Success Guide
,Here is a comprehensive **SOAP note** for a **5-year-old female** presenting with **cough and
trouble breathing**, including the **DMS abdomen exam** component, following i-Human/NRNP 6541
Week 4 format.
---
, ## SOAP NOTE – 5-Year-Old Female with Cough & Breathing Difficulty
**Patient:** [Name not provided – insert from case]
**Age:** 5 years
**Sex:** Female
**Location:** Outpatient clinic / Urgent Care / ED (per case context)
**Reason for Encounter:** Cough and trouble breathing
**Mode:** i-Human Week 4 – NRNP 6541
**Exam included:** DMS abdomen exam (5)
---
### Subjective (History)
**Chief Complaint (parent’s/guardian’s own words):**
“She has a cough and is having trouble breathing.”
**History of Present Illness (HPI):**
- **Onset:** When did symptoms begin? Acute (hours to days) vs gradual (weeks).
- **Cough characteristics:**
- Dry (non-productive) vs wet (productive).
- Timing: Worse at night, upon awakening, with activity, or continuous.
- Paroxysmal (sudden fits of coughing – pertussis).
- Barking or seal-like cough (croup – laryngotracheobronchitis).
- Whooping sound after cough (pertussis).
- Hoarseness or voice changes.
- **Breathing difficulty (dyspnea):**
- Onset: Sudden vs gradual.
Case: 5-Year-Old Female with
Cough & DMS Abdomen Exam
5 | Latest 2025/2026 First-
Attempt Success Guide
,Here is a comprehensive **SOAP note** for a **5-year-old female** presenting with **cough and
trouble breathing**, including the **DMS abdomen exam** component, following i-Human/NRNP 6541
Week 4 format.
---
, ## SOAP NOTE – 5-Year-Old Female with Cough & Breathing Difficulty
**Patient:** [Name not provided – insert from case]
**Age:** 5 years
**Sex:** Female
**Location:** Outpatient clinic / Urgent Care / ED (per case context)
**Reason for Encounter:** Cough and trouble breathing
**Mode:** i-Human Week 4 – NRNP 6541
**Exam included:** DMS abdomen exam (5)
---
### Subjective (History)
**Chief Complaint (parent’s/guardian’s own words):**
“She has a cough and is having trouble breathing.”
**History of Present Illness (HPI):**
- **Onset:** When did symptoms begin? Acute (hours to days) vs gradual (weeks).
- **Cough characteristics:**
- Dry (non-productive) vs wet (productive).
- Timing: Worse at night, upon awakening, with activity, or continuous.
- Paroxysmal (sudden fits of coughing – pertussis).
- Barking or seal-like cough (croup – laryngotracheobronchitis).
- Whooping sound after cough (pertussis).
- Hoarseness or voice changes.
- **Breathing difficulty (dyspnea):**
- Onset: Sudden vs gradual.
