Sports Med Flashcards
What does AMA recommend doing during pre-participation physicals?
addressing health related discussion topics outside of sports stuff
Most common abnormality for pre-participation screens?
elevated blood pressure; if less than 160/100, they should be allowed to play
What is not recommended in PPE exams?
EKGs w/o any clinical or historical factors
What is the murmur for HOCM?
crescendo - decrescendo, louder with valsalva (decreases preload) because outflow track is blocked with decrease in preload
**MOST COMMON CAUSE OF CV SUDDEN DEATH
Work up and treatment for HOCM
EKG - will show nonspecific abnormalities
Echo or Cardiac MRI - order
Trreat: beta blockers
Marfan complications (4)
cardiac - aortic dilatation, dissection
pulmonary - pneumothorax
ocular - lens dislocation
Diagnosis in exercise induced bronchospasm
change in FEV1 > 10% from baseline (used to be 15%)
Biggest risk of mono?
risk of splenic rupture highest in first 3 weeks post diagnosis.
can return to play when 1) no symptoms 2) after 21 days
Best temp for heat related illness
RECTAL
Difference between heat exhaustion and heat stroke
heat stroke = mental status changes, temp > 104
Treatment for sports related heat exhaustion
ice water immersion
Management for concussions
Physical and cognitive rest 24-48 hours post event return to academic before physical neuropsych testing = optional most common side effects = headaches competition higher risk than practice takes longer in younger kids to resolve
Most common type of shoulder dislocation
Anterior shoulder dislocation - reduce and immobilize
What condition occurs with hip pain, c-sign (pain on anterior hip) and + flexion / adduction / internal rotation test?
femoral acetabular impingement
which sports most common to have injuries? areas most commonly injured?
football!
head/face
most common area of the knee to be injured?
MCL - lateral force
best test for ACL tear?
lachmanns
best test for PCL?
posterior drawer
best test for meniscus?
thessaly - aka twist test
most common mechanism for ACL tears?
non-=contact injuries
males or females have higher rates of ACL tears?
females
what is the treatment for ACL tears?
if instability present = surgical repair
knee bracing = doesn’t work
benefits of surgery for acl tears?
only done for instability
rehab first
does not decrease OA later in life
ankle sprain treatment care
Early movement and BRACE HELPS
nerve and presentation for handle bar neuropathy
ulnar nerve at gunyon’s canal
numbness on volar/palmer surface of 4th and 5th digits
nerve and presentation for ulnar neuropathy
ulnar nerve at cubital tunnel
numbness on dorsal surface of 4th and 5th digits
nerve and presentation for saddle neuropathy
trapping of pudendal nerve
nerve and presentation for peroneal neuropathy
compression from lateral aspect of knee / leg
foot drop
student athlete has contagious skin stuff. when do they return to play?
after treatment and symptoms have resolved
female athlete triad level recs
low bmd and ammenorrhea increase risk of stress facture
if no periods for 6 months + stress fracture, do DXA scan
lean sports have more BMD
what is the treatment for quadriceps tendon and patellar tendon tear/rupture?
surgical!
most common = quad tear = low riding patella
