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i-Human Comprehensive Case Study Complete Patient Encounter Review ManualAdvanced Clinical Nursing i-Human Case Study Master Solution Guide

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The manual explicitly lists vital objective physical examination findings, documenting full head-to-toe structural assessments, localized abnormalities, and abnormal vital sign parameters. It guides students step-by-step through advanced diagnostic reasoning protocols, helping them interpret laboratory values, diagnostic imaging scans, and specialized diagnostic tests to formulate an accurate differential diagnosis table. It emphasizes prioritizing must-not-miss (MNM) life-threatening conditions to establish a confirmed final diagnosis. Additionally, the resource delivers an evidence-based management plan incorporating precise pharmaceutical prescriptions, non-pharmacological interventions, interdisciplinary team referrals, patient education guidelines, billing codes, and strict follow-up tracking schedules to ensure maximum scores on the clinical grading rubric.

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,iHuman Comprehensive Case Study

Avery Brook | 10-Year-Old Female




Case Study Overview

Element Details

Patient Name Avery Brook

Age 10 years old

Gender Female

Chief Complaint "My stomach hurts and I feel tired all the time"

Duration Approximately 6-8 weeks

Setting Outpatient Pediatric Clinic

Accompanied By Mother, Sarah Brook




Section 1: Chief Complaint & History of Present Illness (HPI)

Chief Complaint
Avery Brook is a 10-year-old female who presents to the pediatric clinic with her mother
reporting abdominal pain and fatigue for the past 6-8 weeks.

, History of Present Illness (HPI)

HPI Element Avery's Response

Onset Gradual, started approximately 2 months ago

Location Periumbilical (around the belly button), occasionally generalized

Duration Intermittent, lasting 30 minutes to several hours

Character Dull, cramping; occasionally sharp after eating

Aggravating
Eating large meals, fatty foods, dairy products, physical activity
Factors

Relieving Factors Rest, small frequent meals, lying down with knees bent

Timing Worse after meals; sometimes awakens her from sleep

Severity 4-6/10 on pain scale (0 = no pain, 10 = worst pain)

Associated Fatigue, pallor, dizziness with standing, occasional nausea (no vomiting), headach
Symptoms cold hands and feet



Additional HPI Details

Question Avery's Response

Any changes in bowel habits? Yes, alternating constipation and loose stools

Any blood in stool? Mother reports no visible blood

Any changes in appetite? Decreased appetite; feels full quickly

Any weight changes? Lost approximately 8 pounds in 2 months (unintentional)

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