General Medical Problems in Athletes

Question 1

In an athlete with intermittent fevers, FHx of arthritis, and pain in AC joint with no specific injury, what should the first initial test be?

Answer 1

Plain XR of shoulder, AC, and clavicle

- Consider MRI or ESR/CBC for follow up tests

Question 2

How does aerobic exercise affect lung function in pts with cystic fibrosis?

Answer 2

• increases mucous clearance and strengthens respiratory muscles to decrease deterioration in lung function
• SpO2 remains stable

Question 3

What are recommendations for athletes with aortic stenosis?

Answer 3

• Mild > 1.5cm2 and aSx - full clearance with annual doppler echo
• Moderate: 1-1.5cm2 - clearance for only low and maybe moderate intensity
• Severe: <1cm2 - should not participate in competitive sports, maybe low intensity

Question 4

What are recommendations for athletes with a solitary kidney?

Answer 4

Most can be cleared for contact and collision sports with a qualified yes, but discussion should be held regarding protective kidney

Question 5

What is an important function of the abdominal exams on PPE in females?

Answer 5

Palpate for a gravid uterus