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18 terms

sports physical

duderstadt ch. 14 Zetelli ch. 14
STUDY
PLAY
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