2026 Pediatric i-Human Case Study: Avery
Brook Complete Clinical Encounter – 10-
Year-Old Female Presenting with Declining
School Performance and Slipping Grades
,CASE TITLE & SUMMARY
Case Title: Avery Brook – 10-Year-Old Female with Declining School
Performance
Reason for Encounter: Mother reports significant decline in school performance
over the past 3 months, slipping grades from A's/B's to C's/D's, difficulty
concentrating, fatigue, and increased irritability at home and school.
Clinical Focus: Evaluates common pediatric causes of cognitive decline including
attention disorders, learning disabilities, sleep disorders, mood disorders
(anxiety/depression), thyroid dysfunction, nutritional deficiencies, lead exposure,
and chronic medical conditions. Requires comprehensive developmental,
behavioral, medical, and psychosocial assessment.
PATIENT DEMOGRAPHICS
Category Information
Name Avery Brook
Age 10 years old
Sex Female
Date of Birth March 15, 2016
Race White
Ethnicity Non-Hispanic
Address 428 Maple Street, Springfield, IL 62701
, Category Information
Phone (217) 555-0142
Guardian Sarah Brook (Mother) – Primary Custodian
Insurance Medicaid (IL)
Primary Care Provider Dr. Jennifer Martinez, Pediatrician
Springfield Elementary School – Grade 4,
School Room 12
Teacher Ms. Rebecca Thompson
CHIEF COMPLAINT
"My daughter's grades are slipping and she can't concentrate anymore."
– Mother, Sarah Brook
HISTORY OF PRESENT ILLNESS (HPI)
Avery Brook is a 10-year-old female who presents to the pediatric clinic today
with her mother for evaluation of declining school performance over the past 3
months. Mother reports that Avery was previously an excellent student
(consistently earning A's and B's) but has experienced a significant drop in
grades to C's and D's over the past quarter.
Key Symptoms Reported:
1. Difficulty Concentrating: Mother states Avery "can't focus on anything" –
struggles to complete homework, appears distracted during reading, and
loses interest in activities she previously enjoyed (painting, reading).
Brook Complete Clinical Encounter – 10-
Year-Old Female Presenting with Declining
School Performance and Slipping Grades
,CASE TITLE & SUMMARY
Case Title: Avery Brook – 10-Year-Old Female with Declining School
Performance
Reason for Encounter: Mother reports significant decline in school performance
over the past 3 months, slipping grades from A's/B's to C's/D's, difficulty
concentrating, fatigue, and increased irritability at home and school.
Clinical Focus: Evaluates common pediatric causes of cognitive decline including
attention disorders, learning disabilities, sleep disorders, mood disorders
(anxiety/depression), thyroid dysfunction, nutritional deficiencies, lead exposure,
and chronic medical conditions. Requires comprehensive developmental,
behavioral, medical, and psychosocial assessment.
PATIENT DEMOGRAPHICS
Category Information
Name Avery Brook
Age 10 years old
Sex Female
Date of Birth March 15, 2016
Race White
Ethnicity Non-Hispanic
Address 428 Maple Street, Springfield, IL 62701
, Category Information
Phone (217) 555-0142
Guardian Sarah Brook (Mother) – Primary Custodian
Insurance Medicaid (IL)
Primary Care Provider Dr. Jennifer Martinez, Pediatrician
Springfield Elementary School – Grade 4,
School Room 12
Teacher Ms. Rebecca Thompson
CHIEF COMPLAINT
"My daughter's grades are slipping and she can't concentrate anymore."
– Mother, Sarah Brook
HISTORY OF PRESENT ILLNESS (HPI)
Avery Brook is a 10-year-old female who presents to the pediatric clinic today
with her mother for evaluation of declining school performance over the past 3
months. Mother reports that Avery was previously an excellent student
(consistently earning A's and B's) but has experienced a significant drop in
grades to C's and D's over the past quarter.
Key Symptoms Reported:
1. Difficulty Concentrating: Mother states Avery "can't focus on anything" –
struggles to complete homework, appears distracted during reading, and
loses interest in activities she previously enjoyed (painting, reading).
