iHuman Case Study: Avery Brook, 10-Year-Old Female
with Slipping Grades (2026/2027) – Complete SOAP
Note, Differential Diagnosis, Assessment & Management
Guide
iHuman Case Study Study Guide
Avery Brook
Age: 10-year-old Female
Chief Complaint: Slipping Grades
SOAP NOTE TEMPLATE (Educational
Example)
SOAP NOTE
,Patient Information
Name: Avery Brook
Age: 10 years
Gender: Female
Date of Visit: __________
Source of Information: Patient and Parent
Reliability: Good
S – SUBJECTIVE
Chief Complaint
"My grades have been getting worse at school."
History of Present Illness (HPI)
Avery Brook is a 10-year-old female who presents with declining academic performance over
the past several months. Her mother reports that Avery was previously an average-to-above-
average student but has recently experienced a noticeable decrease in grades.
Mother reports:
• Difficulty maintaining attention during homework.
• Frequently forgets assignments.
• Easily distracted during class activities.
• Requires repeated instructions.
• Increased frustration when completing schoolwork.
• Teachers have reported incomplete assignments and poor concentration.
The patient denies headaches, visual disturbances, dizziness, seizures, or recent illness.
No recent trauma reported.
No significant changes in appetite.
Sleep averages 8–9 hours nightly, although mother reports occasional difficulty falling asleep.
, Symptoms have gradually worsened over the past 6 months.
Past Medical History
• No chronic illnesses.
• Immunizations up to date.
• No previous psychiatric diagnoses.
• No hospitalizations.
• No surgeries.
Medications
• None
Allergies
• No known drug allergies (NKDA)
Family History
• Father diagnosed with ADHD during childhood.
• No family history of seizure disorders.
• No family history of intellectual disability.
Social History
• Lives with both parents.
• Fifth-grade student.
• No tobacco, alcohol, or drug exposure.
• Participates in recreational activities.
• Reports having friends at school.
with Slipping Grades (2026/2027) – Complete SOAP
Note, Differential Diagnosis, Assessment & Management
Guide
iHuman Case Study Study Guide
Avery Brook
Age: 10-year-old Female
Chief Complaint: Slipping Grades
SOAP NOTE TEMPLATE (Educational
Example)
SOAP NOTE
,Patient Information
Name: Avery Brook
Age: 10 years
Gender: Female
Date of Visit: __________
Source of Information: Patient and Parent
Reliability: Good
S – SUBJECTIVE
Chief Complaint
"My grades have been getting worse at school."
History of Present Illness (HPI)
Avery Brook is a 10-year-old female who presents with declining academic performance over
the past several months. Her mother reports that Avery was previously an average-to-above-
average student but has recently experienced a noticeable decrease in grades.
Mother reports:
• Difficulty maintaining attention during homework.
• Frequently forgets assignments.
• Easily distracted during class activities.
• Requires repeated instructions.
• Increased frustration when completing schoolwork.
• Teachers have reported incomplete assignments and poor concentration.
The patient denies headaches, visual disturbances, dizziness, seizures, or recent illness.
No recent trauma reported.
No significant changes in appetite.
Sleep averages 8–9 hours nightly, although mother reports occasional difficulty falling asleep.
, Symptoms have gradually worsened over the past 6 months.
Past Medical History
• No chronic illnesses.
• Immunizations up to date.
• No previous psychiatric diagnoses.
• No hospitalizations.
• No surgeries.
Medications
• None
Allergies
• No known drug allergies (NKDA)
Family History
• Father diagnosed with ADHD during childhood.
• No family history of seizure disorders.
• No family history of intellectual disability.
Social History
• Lives with both parents.
• Fifth-grade student.
• No tobacco, alcohol, or drug exposure.
• Participates in recreational activities.
• Reports having friends at school.
