L3: Foundations of Health Assessment 3

Question 1

What are diagnoses that could provide a qualified decision?

Answer 1

• Asthma, congenital heart disease, DM, eating disorder, hepatitis, HIV, loss of eye, malabsorption syndromes, obesity, seizure disorder and sickle cell disease

Question 2

Describe the different classifications of sports-related contact. How are they utilized when recommending levels of participation?

Answer 2

• Classifications of sports-related contact: A.) contact/collision B.) limited contact C.) non-contact - How are they utilized when making recommendations for participation? Depending on the pts condition, fitness level and conditions / problems they have, an appropriate sport will be selected and certain classes of sports are included and excluded.

Question 3

What are components of preparticipation physical evaluation?

Answer 3

Step 1: Medical history - Previous disqualification - Detection of previous or current issues - Viral illness - Sickle cell trait - Hospitalizations or surgeries - Medications or allergies - Special equipment - Demographic data - Immunizations/tetanus - Weight changes - Anaphylactic reactions - Concussion history - Dizziness or collapse with exertion - Family history - Asthma - Organ loss (paired organs) or dysfunction - Menstrual history - Contact lenses, dental appliances or other devices - Fractures, dislocations and other injuries - Previous heat illness or muscle cramps - Source of history Step 2: Physical exam - Height, weight, BMI - BP - Visual acuity - Skin, eyes, heart, abdomen, genitalia, musculoskeletal screening (90 second or Garrick eval) Step 3: Clearance - Decision: unrestricted, restricted/limited (participation to certain sports), clearance with proviso, deferred clearance/pending (proviso of further eval), disqualification/not cleared

Question 4

What are the requirements/steps to being a successful interviewer?

Answer 4

• Knock on door - Wash your hands or use sanitizer - Address the patient by Mr or Mrs/Ms X. - Introduce self - Sit down, make eye contact at same level - Use appropriate questions and techniques - Discuss plan with pt before exiting room

Question 4

What are diagnoses that would provide a non-qualified decision?

Answer 4

• Carditis, diarrhea, fever and structural heart disease

Question 6

What are 7 major contraindications or reasons for disqualification to sports participation?

Answer 6

• Dizziness with exercise - Asthma history - Unfavorable BMI - Systolic BP elevation - Visual acuity defect - Presence of heart murmur - Musculoskeletal abnormality

Question 7

Describe the parts of the female athlete triad.

Answer 7

• Disordered eating, amenorrhea and osteoporosis

Question 8

What is the format of time on EMR?

Answer 8

• Military, no “:” used

Question 9

What is the format (with included components) of the written medical record/note?

Answer 9

• Pt name and DOB in top right of each page. - Physicians/student physicians name, signature with credentials (OMS1, OMS2 etc.) on bottom right of each page. - Date and time (military) on top left of each page. - No blank lines - Use black or blue ink, draw single line through error and write date and initials - Addenda need to be dated and timed. In addenda, refer back to what is being is being changed or edited by using reference of date/time to the note above. Place name, signature with credentials to bottom right of this. - From top to bottom, sections are: - CC: “ “ - HPI: - Medications: - Allergies: - PMHx: - PSHx: - FMHx: - SOCHx: - PE: (Vitals, General, Skin, HEENT, Cardiac, Lungs, Abdomen, Rectal, Structural) - Assessment - Plan