Sports Physical Examination Flashcards
What is a pre-participation physical
physical to evaluate if athlete can participate in sports
What are goals of pre-participation physcial
- identify medical problems that place athlete at risk
- identify correctable problems that could impair athlete’s ability to perform
- educate athlete
- meet legal and insurance requirements
What are benefits of sports participation
physical
emotional
social
economic
what are most commonly detected conditions that disqualify athletic participation
cardiac abnormalities
musculoskeletal conditions
What are the most common cardiac deaths with athletes
hypertrophic cardiomyopathy coronary artery anomalies myocarditis marfan syndrome arrhythmogenic right ventricular cardiomyopathy Long QT syndrome
what are clues for hypertrophic cardiomyopathy in the medical hx and ROS
dyspnea and chest pain
post-exhertional syncope
systolic murmur over left sternal border
S4 heart sound
what does AHA recommend for screening
5 PMHx/ROS
3 FHx
4 Physical Exam
What are PMHx AHA recommendations
Exhertional CP syncope excessive exhertional heart murmur elevated BP
What are FHx AHA recommendations
Premature sudden death CV dx disability HCM dilated cardiomyopathy long QT Marfan arrhythmias
What are Physical Exam AHA recommendations
Heart murmur
femoral vs radial pulses
physical stigmata of marfan syndrome
Brachial artery BP
What is Marfan syndrome findings
M > 6 Ft F > 5'10" kyphoscoliosis pectus excavatum arm span greater than height Myopia (near is clear) Ligamentus laxity
What are clear disqualifications from sports
Carditis
Fever
Moderate to severe diarrhea
What is a concussion
condition with dramatically induced alteration in mental status
w or w/o loss of conciousness
What are symptoms of concussion
confused blank expression delayed response emotion lability HA dizziness vision complaints amnesia vomiting
