sports physical
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Created by:
Melina77 on September 26, 2012
Description:
duderstadt ch. 14
Zetelli ch. 14
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Set copied from lauren_hensonflagg
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18 terms
Terms | Definitions |
|---|---|
 qualified yes | HTN, CHD, MVP, heart murmur, CP, one kidney, hepatomegaly, malignancy, sickle cell, seizure |
| NO | fever, acutely enlarged spleen |
| YES | DM, HIV, asthma, one testice |
| muscoloskeletal exam | two minute ortho screening, focuses on alignment, flexibility and proprioception |
| physical exam | BP, general, eyes/vision, CV, respiraotry, GU, MS, skin |
| grade 1 concussion | transient confusion, no LOC, mental status abnormalities of <15 min. May return to sports that day if symptoms resolve in <15 min. |
| grade 2 concussion | transient confusion. no LOC. mental status abnormalities >15 min. May return to sport after asymptomatic for 1 week. |
| grade 3 concussion | LOC. may return to sport after asymptomatic for one MONTH. + CT finding should be removed for 1 season. more than 2 = NO MORE SPORTS EVER |
| second impact syndrome | second brain injury before first has resolved. Can result in massive brain swelling and risk of mortality. |
| hypertrophic cardiomyopathy | primary cause of sudden death. Rare (1:100,000). |
| hypertension | diagnose ONLY after 3 separate elevated BP readings. mild= not restricted from any sport severe- restricted until evaluated and treated |
| Diabetes | -should be well controlled -immediate access to home BG testing system -should NOT participate if: retinal hemorrhages, BG <100 or >250 |
| atlantoaxial instability | bony anomaly and ligament laxity often seen in down's syndrome where the skull and the first 2 cervical vertebrae articulate. Incident is 10-30%. |
| anorexia, amenorrhea, osteoporosis | female athlete triad |
| heat cramps | mildest form of heat illness. Painful muscle spasms of extremities and abdomen. Thirsty but well orientated. Tx is hydration, rest and activity avoidance x 2 days |
| heat exhaustion | most common heat illness. excess sweating and is a reversible condition. Sx include cramps, ha, fatigue, weakness, dizziness. Increase in core temp >38. tx is hydration, rest, with ED monitoring |
| heat stroke | MEDICAL EMERGENCY. morbidity rates from 17-70%. hyperpyrexia, coma, anhidrosis with core temp>40 |
| Recommended components | Cardiac, Respiratory, Neuro, Vision, Ortho, psychosocial, GU |
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