I-Human Case Study 2025: Esteban Soto 4-Year-Old With Leakiol In Underwear | Complete 2025 Pediatric Encopresis & Func

I-HUMAN CASE STUDY 2025: ESTEBAN SOTO - 4-YEAR-OLD WITH LEAKING STOOL IN UNDERWEAR | COMPLETE 2025 PEDIATRIC ENCOPRESIS & FUNCTIONAL CONSTIPATION EVALUATIONCASE INTRODUCTION Esteban Soto is a 4-year-old Hispanic male brought in by his mother due to stool leaking in his underwear for the past 2 months. The mother reports frequent accidents, despite the child being fully toilet trained at age 3. She is concerned that he may be losing control or has an infection. The child appears shy, avoids eye contact, and walks stiffly. No acute distress is noted. Your role: Nurse Practitioner evaluating, diagnosing, and creating a management plan. PATIENT BIODATA Name: Esteban Mateo Soto Age: 4 years Gender: Male Ethnicity: Hispanic DOB: 2019 Accompanied by: Mother Environment: Lives with parents and 2 siblings CHIEF COMPLAINT (CC) Leaking poop in his underwear for weeks. HISTORY OF PRESENT ILLNESS (HPI)The mother reports that Esteban has had fecal soiling in his underwear 3-5 times per week for the past 2 months. She describes it as: Small smears or soft mushy streaks Occurs mostly in the afternoon/evening Child often seems unaware it happened Additional HPI details: Bowel movements are described as large, hard stools every 3-4 days Child strains and sometimes