There's a stonefly nymph in the bottom right corner of this picture, but what's really interesting is those white blotches. They're pretty common in my Wisconsin home river river, stuck flat onto the rocks--lots of rocks have a speckled look as a result. They are microcaddis cases, made by larvae of the caddisfly family Hydroptilidae. These are made by larvae of the subfamily Leucotrichiinae, most likely the genus Leucotrichia. They spin little flat oval cases of silk tight and immobile against the rocks.
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Larvae: Many classes of aquatic insects, such as caddisflies, midges, craneflies, dobsonflies, alderflies, and many more, are known as "larvae" rather than "nymphs" in their juvenile stages. They have mostly soft bodies rather than hard exoskeletons. These insects also advance through a "pupa" stage before reaching adulthood.
Nymphs: The juvenile, underwater stages of mayflies, stoneflies, dragonflies, and damselflies and other aquatic insects whose juvenile stages are covered by hard exoskeletons. The word can also refer to the fishing flies which imitate these creatures, in which case it is used as a blanket term for flies imitating any underwater stage of an invertebrate (except for crayfish and leeches).