2026 Pediatric i-Human Case Study:
Avery Brook – Complete Clinical
Encounter 10 Year-Old Female Presenting
with Declining School Performance and
Slipping Grades
, Name: Avery Brook
Age: 10 years old
Gender: Female
Grade (implied): 4th grade
Presenting Concern: Declining school performance and slipping grades
Setting: Outpatient pediatric clinic (mother accompanied)
Duration of symptoms: Approximately 1 year
Chief Complaint
"My grades are slipping and I have trouble paying attention in school."
History of Presenting Illness (HPI)
Setting: Avery is a 10-year-old female brought to the clinic by her mother due to
a one-year history of worsening academic performance.
History: Previously an above-average student, she now has declining grades,
incomplete assignments, poor concentration, forgetfulness, and difficulty
organizing activities.
Teacher Reports: She appears distracted in class, frequently loses materials, and
has trouble following multi-step instructions.
Symptom Settings: Symptoms occur both at school and home. She starts tasks
but fails to complete them and is easily distracted.
Social/Emotional Impact: Symptoms are beginning to affect her social
relationships and self-esteem.
Key Negatives: No reported recent trauma, major life stressors, or significant
medical illnesses.
Review of Systems (ROS)
General: Afebrile, no weight loss, no fatigue.
Avery Brook – Complete Clinical
Encounter 10 Year-Old Female Presenting
with Declining School Performance and
Slipping Grades
, Name: Avery Brook
Age: 10 years old
Gender: Female
Grade (implied): 4th grade
Presenting Concern: Declining school performance and slipping grades
Setting: Outpatient pediatric clinic (mother accompanied)
Duration of symptoms: Approximately 1 year
Chief Complaint
"My grades are slipping and I have trouble paying attention in school."
History of Presenting Illness (HPI)
Setting: Avery is a 10-year-old female brought to the clinic by her mother due to
a one-year history of worsening academic performance.
History: Previously an above-average student, she now has declining grades,
incomplete assignments, poor concentration, forgetfulness, and difficulty
organizing activities.
Teacher Reports: She appears distracted in class, frequently loses materials, and
has trouble following multi-step instructions.
Symptom Settings: Symptoms occur both at school and home. She starts tasks
but fails to complete them and is easily distracted.
Social/Emotional Impact: Symptoms are beginning to affect her social
relationships and self-esteem.
Key Negatives: No reported recent trauma, major life stressors, or significant
medical illnesses.
Review of Systems (ROS)
General: Afebrile, no weight loss, no fatigue.
