SLOAN GLEN, 10-YEAR-OLD
COMPREHENSIVE IHUMAN CASE
STUDY. REASON FOR
ENCOUNTER: SLIPPING GRADES.
WITH A SOAP NOTE.
EXAM STUDY GUIDE. GRADED A+.
LATEST 2026/2027 UPDATE.
,1. Patient Demographics & Identifying Data
• Name: Sloan Glen
• Age: 10 years old
• Gender: Not specified
• Date of Visit: __________________
• Source of History: Sloan and parent/guardian.
• Reliability of History: Information is considered reliable and consistent
with the child's presentation.
• Reason for Encounter: Slipping grades.
• Primary Concern: Recent decline in school performance compared with
Sloan's previous academic performance.
, • Mode of Arrival: Presented to the clinic with a parent/guardian for
evaluation of the change in school performance.
• Level of Consciousness: Alert, awake, and appropriately responsive for
age.
• General Appearance: 10-year-old child who appears the stated age.
Sloan is appropriately dressed and well groomed. The child is
cooperative during the encounter but appears somewhat quiet and
concerned when discussing school.
• Developmental Status: Appears developmentally appropriate for age
based on interaction and communication during the visit.
• Overall Impression: The main concern is a noticeable decline in
academic performance that warrants further assessment of possible
medical, developmental, emotional, social, and school-related factors.
2. Chief Complaint (CC)
Parent states: “Sloan's grades have been slipping lately. The teachers have
noticed a change, and we're concerned because this isn't how Sloan normally
performs at school.”
3. History of Present Illness (HPI) – OLD CARTS Method
O – Onset
• Parent reports that Sloan's grades have been gradually declining over the
past several months.
• The change was first noticed in one or two subjects but has recently
become more noticeable across several areas.
• Teachers have also commented that Sloan is not performing at the same
level as earlier in the school year.
• The family became concerned because the decline is different from
Sloan's previous academic pattern.
L – Location
COMPREHENSIVE IHUMAN CASE
STUDY. REASON FOR
ENCOUNTER: SLIPPING GRADES.
WITH A SOAP NOTE.
EXAM STUDY GUIDE. GRADED A+.
LATEST 2026/2027 UPDATE.
,1. Patient Demographics & Identifying Data
• Name: Sloan Glen
• Age: 10 years old
• Gender: Not specified
• Date of Visit: __________________
• Source of History: Sloan and parent/guardian.
• Reliability of History: Information is considered reliable and consistent
with the child's presentation.
• Reason for Encounter: Slipping grades.
• Primary Concern: Recent decline in school performance compared with
Sloan's previous academic performance.
, • Mode of Arrival: Presented to the clinic with a parent/guardian for
evaluation of the change in school performance.
• Level of Consciousness: Alert, awake, and appropriately responsive for
age.
• General Appearance: 10-year-old child who appears the stated age.
Sloan is appropriately dressed and well groomed. The child is
cooperative during the encounter but appears somewhat quiet and
concerned when discussing school.
• Developmental Status: Appears developmentally appropriate for age
based on interaction and communication during the visit.
• Overall Impression: The main concern is a noticeable decline in
academic performance that warrants further assessment of possible
medical, developmental, emotional, social, and school-related factors.
2. Chief Complaint (CC)
Parent states: “Sloan's grades have been slipping lately. The teachers have
noticed a change, and we're concerned because this isn't how Sloan normally
performs at school.”
3. History of Present Illness (HPI) – OLD CARTS Method
O – Onset
• Parent reports that Sloan's grades have been gradually declining over the
past several months.
• The change was first noticed in one or two subjects but has recently
become more noticeable across several areas.
• Teachers have also commented that Sloan is not performing at the same
level as earlier in the school year.
• The family became concerned because the decline is different from
Sloan's previous academic pattern.
L – Location
