Case Study | Slipping
Grades | Clinical
Assessment, H&P,
Soap Note &
Differential Diagnosis
Guide
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,Case Setup History Physical Exam Assessment Test Results Diagnosis Plan
Case Instructions
BASIC DDX CASE PLAY SETUP AND INSTRUCTIONS
MODE:
This assignment is in Test Mode, so you will not be provided with
any feedback after submitting each section .
ATTEMPTS AVAILABLE:
● You are permitted 1 attempt for this assignment.
Sloan Glen
10 y/o
CLINICAL ORIENTATION OBJECTIVE
4′ 7″ (140 cm)
Evaluate a 10-year-old female presenting with academic decline.
80.0 lb (36.4 kg)
Differentiate between neurodevelopmental disorders (ADHD),
Reason for encounter mood/anxiety disorders, learning disabilities, sleep
Slipping grades disturbances, and systemic medical causes (e.g.,
hypothyroidism, anemia, lead exposure)
Location
Outpatient clinic with laboratory
capabilities
@Hooded-Tutor
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,SECTION 1: COMPLETE SCORED HISTORY INTERVIEW QUESTIONS &
RATIONALES
The iHuman grading matrix requires asking specific, highly yield questions to both the mother (primary historian) and patient.
CATEGORY / TARGET IHUMAN EXACT INTERVIEW QUESTION SCORE WEIGHT
Chief Complaint (Mother) How can I help you today? REQUIRED (100%)
HPI / Academic Onset (Mother) When did you first notice that Sloan's grades were REQUIRED (100%)
slipping?
HPI / Subject Specifics (Mother) Is she struggling in all subjects or specific areas REQUIRED (100%)
like reading or math?
Behavioral / Attention (Mother) Does she have trouble paying attention or staying REQUIRED (100%)
focused on homework?
Hyperactivity / Impulsivity (Mother) Does she fidget, have trouble sitting still, or REQUIRED (100%)
interrupt others frequently?
Cross-Setting Check (Mother) Have teachers reported similar attention or REQUIRED (100%)
behavior issues at school?
Sleep / Fatigue (Mother) How many hours does she sleep per night? Does REQUIRED (100%)
she snore or wake up frequently?
Vision / Hearing (Mother) Has she had her vision or hearing tested recently? REQUIRED (100%)
Mood / Stressors (Child) Sloan, how do you feel when you are at school or REQUIRED (100%)
doing schoolwork?
Bullying / Psychosocial (Child) Is anyone picking on you or bullying you at REQUIRED (100%)
school?
Somatic Symptoms (Mother) Does she complain of frequent headaches or REQUIRED (100%)
stomachaches before school?
PMH / Development (Mother) Did she meet all her early developmental REQUIRED (100%)
milestones on time?
Family Hx (Mother) Does anyone in the family have ADHD, learning REQUIRED (100%)
disorders, or mood disorders?
Nutrition / Diet (Mother) How is her appetite? What does a typical day's REQUIRED (100%)
diet look like?
Screen Time (Mother) How much screen time does she have daily, REQUIRED (100%)
especially before bed?
IHUMAN SCORING SECRET
To achieve 100% on the history section, you MUST ask questions addressing symptoms in at least two distinct
settings (home vs. school) to meet DSM-5 criteria for ADHD.
, SECTION
2 of 16 1 (CONT.): DETAILED HISTORIAN RESPONSES & CLINICAL FINDINGS