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13 Cards in this Set
- Front
- Back
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Primary Sports Preparticipation Screening Overview |
-CV Screen - HCOM -Hx of loss of consciousness/concussion -Recovery from MSK injury -General Health/Gen health counseling -Assessing fitness level for sports |
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Evaluation of Syncope |
Hx: -loss of consciousness (LOC) and duration helps differentiate neurocardiogenic (vagal) from atypical -time of day -weight changes -activities leading up to event -patient posture -assoc symptoms (palpitations, chest pain, color change, headache, shortness of breath, nausea, diaphoresis, visual changes & hearing changes) pearls for cardiac syncope -assoc with exertion/exercise calls for thorough cardiac eval -prolonged LOC (>5min), chest pain, palpitations, cardiac hx favor cardiac syncope dx. - seizure - facial cyanosis, aura, frothing, tongue biting, slow recovery/postictal drowsiness, confusion suggest - seizure II - syncope in supine position; convulsion; warm, flushed cyanotic skin instead of pallor and diaphoresis PE - cardiac, neuro, EKG |
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Osgood-Schlatter Disease |
irritation of the growth plate at the tibial tuberosity (front of the tibia bone). It is usually a self-limited growing pain that resolves with rest and with finishing the growth spurt. |
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Most common cause of Chest Pain in an adolescent |
Muskuloskeletal -precordial catch syndrome: sudden, sporadic pain, usually left sternal border, exacerbated with deep inspiration, resolves spontaneously ----costochondritis |
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Angina vs. Precordial Catch |
Angina: -onset - exertional -quality - pressure/crushing -timing - 10-15 min -assoc sx - syncope, palpitations Pre-cordial Catch -onset - sporadic, unassociated with exertion -quality - sharp & well localized -timing - very brief, seconds to minutes -aggravated by deep breathing |
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GI causes of chest pain |
any cause of gastric irritation -etoh -tobacco -intoxicants -stimulants -cocaine/other drugs |
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PE for Chest Pain |
-fever suggests infectious etiology like pericarditis or pneumonia -thrill, hyperdynamic precordium, murmurs -body habitus (marfans) -chest wall for injury (MSK) |
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Performance Enhancing Drug Side Effects |
-Anabolic steriods may only increase your aggressiveness in the gym, leading to building muscle mass -testicular atrophy -consequences of drug testing -other bad side effects |
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Two minute MSK PE |
screening exam to find MSK issues in an generally asymptomatic pt. looking for symmetry in strength, muscle bulk, range of motion |
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Teenager Vaccines |
Tdap booster (12 years old) Meningococcal - dose 1 at 12 and 2 at 16 HPV (3 dose starting at 11/12 yoa) |
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Heart Murmurs worth further eval in adolsescents |
- Grade III/IV - Diastolic Murmur - Murmur that increases with valsalva/standing |
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GU exam for males in pre-sports visit |
-Hernia check -undescended testicles -demonstrate testicular self-exam |
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Tanner Stages |
1) childlike phallus; test vol < 1.5ml; no pubic hair 2) childlike phallus; test vol 1.6-6 ml; small, fine pubic hair 3) increased phallus length; test vol 6-12 ml; moderate amount of curly, pigmented, coarse pubic hair 4) increased phallus length and circumference; test vol 6-12; coarse curly adult like pubic hair doesn't extend to thighs 5) adult; test vol > 20 ml; pubic hair extends to medial thighs |
