duderstadt ch. 14 Zetelli ch. 14
HTN, CHD, MVP, heart murmur, CP, one kidney, hepatomegaly, malignancy, sickle cell, seizure
fever, acutely enlarged spleen
DM, HIV, asthma, one testice
two minute ortho screening, focuses on alignment, flexibility and proprioception
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.
primary cause of sudden death. Rare (1:100,000).
diagnose ONLY after 3 separate elevated BP readings.
mild= not restricted from any sport
severe- restricted until evaluated and treated
-should be well controlled
-immediate access to home BG testing system
-should NOT participate if: retinal hemorrhages, BG <100 or >250
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
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
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
MEDICAL EMERGENCY. morbidity rates from 17-70%. hyperpyrexia, coma, anhidrosis with core temp>40
Cardiac, Respiratory, Neuro, Vision, Ortho, psychosocial, GU