NR 602 Avery Brook Case , I Human Case 10 year old female Reason for encounter: Slippery Grades Newest 2026

NR 602 Avery Brook Case , I Human Case 10 year old female
Reason for encounter: Slippery Grades Newest 2026




Avery Brook – Patient Informatio

,Course: NR 602 Pediatric/i-Human Case
Patient: Avery Brook
Age: 10 years
Gender: Female
Chief Complaint: “My grades are slipping.”



Comprehensive History – Avery Brook Case

Chief Complaint (CC)

“My grades are slipping.”



History of Present Illness (HPI)

Avery Brook is a 10-year-old female brought to the clinic by her mother due to
worsening school performance over the last 4–6 months. Mother states Avery was
previously doing well academically but recently began struggling with
assignments, forgetting homework, and receiving poor grades.

Teachers report:

 Difficulty maintaining attention in class
 Frequent daydreaming
 Easily distracted behavior
 Incomplete classwork
 Poor organization
 Forgetfulness

Mother reports Avery:

 Snores loudly at night
 Appears restless during sleep
 Has trouble waking up in the morning
 Seems tired during the daytime
 Becomes irritable after school
 Has less motivation toward school activities

, Mother also notes recent emotional stress related to parental separation
approximately 6 months ago. Avery has made negative self-comments including:

 “I’m dumb.”
 “I can’t do anything right.”

Symptoms have gradually worsened over time.

Mother denies:

 Fever
 Headache
 Seizures
 Loss of consciousness
 Recent illness
 Drug or toxin exposure



Past Medical History (PMH)

 Generally healthy child
 Recurrent streptococcal pharyngitis in the past
 No asthma
 No diabetes
 No psychiatric diagnoses
 No hospitalizations
 No surgeries



Birth History

 Full-term pregnancy
 Normal spontaneous vaginal delivery
 No prenatal or delivery complications