UPDATED 2026 i-Human Avery Brook Case Solution | 10-Year Old
Female with Slipping Grades | Complete Assignment Guide with
Expert HPI Questions, ROS, Physical Assessment, Diagnostic Workup,
Differential Diagnoses, Final Diagnosis, SOAP Note & E
i-Human Avery Brook Case Solution | 10-Year-Old Female with Slipping Grades
,Patient Name: Avery Brook
Age: 10 years (Grade: 4th or 5th)
Gender: Female
Setting: Outpatient Pediatric Primary Care Clinic
Chief Complaint: "My grades have been getting worse and I can't seem to pay
attention in school anymore."
SECTION 1: HISTORY OF PRESENT ILLNESS (HPI)
Chief Complaint (CC)
"My grades have been getting worse and I can't seem to pay attention in school
anymore."
OLDCARTS Analysis
Component Assessment
Gradual onset approximately 12–18 months ago (beginning in 3rd grade), w
Onset
progressive worsening into 4th grade
Cognitive/behavioral – manifests primarily in structured academic settings; a
Location
present at home with homework
Duration Symptoms have been progressively worsening over the last 8–12 months
Inattention (daydreaming, losing items, not following instructions), poor tas
Character
completion, forgetfulness, disorganization; minimal hyperactivity/impulsivity
Aggravating Structured, repetitive, or uninteresting tasks; noisy/busy classroom
Factors environments; fatigue
, Component Assessment
Relieving Highly interesting or self-chosen activities (reading preferred books, art); on
Factors on-one instruction; quiet environments
Constant and pervasive across settings; worse in afternoons; present weekd
Timing
and weekends
Moderate – significantly impacting academic performance; grades declined
Severity
from A/B to C/D
Detailed HPI Narrative
Avery Brook is a 10-year-old female brought to the clinic by her mother due to
worsening academic performance over the past year. Her mother reports that
Avery was previously an above-average student but has recently experienced
declining grades, incomplete assignments, poor concentration, and increasing
forgetfulness.
Teachers have noted that Avery appears distracted during class, frequently loses
materials, and has difficulty following multi-step instructions. Symptoms occur
both at school and at home. Avery often starts tasks but fails to complete them
and is easily distracted by external stimuli. Her mother reports frequent careless
mistakes in homework and difficulty organizing activities.
The symptoms have gradually worsened over the last 12 months and are
beginning to affect self-esteem. No recent trauma, major life stressors, or
significant medical illnesses are reported.
Pertinent Positives & Negatives
Female with Slipping Grades | Complete Assignment Guide with
Expert HPI Questions, ROS, Physical Assessment, Diagnostic Workup,
Differential Diagnoses, Final Diagnosis, SOAP Note & E
i-Human Avery Brook Case Solution | 10-Year-Old Female with Slipping Grades
,Patient Name: Avery Brook
Age: 10 years (Grade: 4th or 5th)
Gender: Female
Setting: Outpatient Pediatric Primary Care Clinic
Chief Complaint: "My grades have been getting worse and I can't seem to pay
attention in school anymore."
SECTION 1: HISTORY OF PRESENT ILLNESS (HPI)
Chief Complaint (CC)
"My grades have been getting worse and I can't seem to pay attention in school
anymore."
OLDCARTS Analysis
Component Assessment
Gradual onset approximately 12–18 months ago (beginning in 3rd grade), w
Onset
progressive worsening into 4th grade
Cognitive/behavioral – manifests primarily in structured academic settings; a
Location
present at home with homework
Duration Symptoms have been progressively worsening over the last 8–12 months
Inattention (daydreaming, losing items, not following instructions), poor tas
Character
completion, forgetfulness, disorganization; minimal hyperactivity/impulsivity
Aggravating Structured, repetitive, or uninteresting tasks; noisy/busy classroom
Factors environments; fatigue
, Component Assessment
Relieving Highly interesting or self-chosen activities (reading preferred books, art); on
Factors on-one instruction; quiet environments
Constant and pervasive across settings; worse in afternoons; present weekd
Timing
and weekends
Moderate – significantly impacting academic performance; grades declined
Severity
from A/B to C/D
Detailed HPI Narrative
Avery Brook is a 10-year-old female brought to the clinic by her mother due to
worsening academic performance over the past year. Her mother reports that
Avery was previously an above-average student but has recently experienced
declining grades, incomplete assignments, poor concentration, and increasing
forgetfulness.
Teachers have noted that Avery appears distracted during class, frequently loses
materials, and has difficulty following multi-step instructions. Symptoms occur
both at school and at home. Avery often starts tasks but fails to complete them
and is easily distracted by external stimuli. Her mother reports frequent careless
mistakes in homework and difficulty organizing activities.
The symptoms have gradually worsened over the last 12 months and are
beginning to affect self-esteem. No recent trauma, major life stressors, or
significant medical illnesses are reported.
Pertinent Positives & Negatives
