CORTEZ V5.1 COMPREHENSIVE
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,iHuman Case Study: Angela Cortez (V5.1) – Detailed Exam Write-Up
1. Patient Overview
Angela Cortez is typically presented as a 17–18-year-old female adolescent who comes to clinic
with persistent fatigue, low energy, and declining academic performance over the past 1–3
months. She is often brought in by a parent due to concerns about mood changes, irritability,
and withdrawal from normal activities.
This case is designed to test:
, • Mental health assessment in adolescents
• Differential diagnosis of fatigue
• Interpretation of psychosocial stressors
• Screening for depression and medical causes
2. Chief Complaint (CC)
“I feel tired all the time and I don’t have energy to do anything.”
3. History of Present Illness (HPI)
Angela reports progressive fatigue for about 2 months, which has gradually worsened. The
fatigue is present daily and not relieved by rest or sleep. She also reports:
• Decreased motivation and interest in school and hobbies
• Poor concentration in class
• Declining academic performance (grades dropping)
• Increased sleep duration but still feeling tired
• Irritability and mood swings
• Social withdrawal from friends and family
• Possible weight gain or appetite changes
There is no clear history of:
• Acute infection
• Recent travel
• Severe physical illness
These symptoms suggest a chronic process, most likely psychological or endocrine in origin.
4. Past Medical History (PMH)
• Usually no significant chronic illnesses