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DU PA Peds Sports Ev

Duke PA Pediatric Sports Evaluation

For __% of athletes preparticipation evaluation is their only health care contact 78
Preparticipation evaluations should take place at least __ prior to practice to allow time for referrals and rehab 6 weeks
Routine labs recommended for preparticipation evaluation None unless indicated by medical condition
Marfan’s Syndrome causes __% of sudden cardiac death 5
Congenital coronary artery abnormality causes __% of sudden death 19
Hypertrophic cardiomyopathy causes __% of sudden death 36
Hypertrophic cardiomyopathy is found in __% of the population 0.02 – 0.2
What is the first indication of hypertrophic cardiomyopathy Sudden death
Common inhaled asthma meds that are accepted by NCAA and IOC Albuterol, terbutaline, Serevent, cromolyn, inhaled steroids
What cardiac murmurs need follow up All murmurs >3/6, diastolic murmurs, murmurs that increase with Valsalva
Murmur of hypertrophic cardiomyopathy increases or decreases with Valsalva Increases
What is the cause of the murmur associated with hypertrophic cardiomyopathy Hypertrophy and stiffness of the left ventricle
Murmur associated with hypertrophic cardiomyopathy __ with squatting and __ when the patient stands Decreases, increases
What is the characteristic of hypertrophic cardiomyopathy murmur Systolic crescendo-decrescendo , heard best between apex and LSB, radiates to axilla but not to neck
Why is Marfan’s syndrome associated with sudden death Rupture of thoracic aortic aneurysm
What is the stigmata of Marfan’s tall/thin, long extremities, hands and feet (arm span greater than height). Sparse muscle mass, pectus deformities, hyperextensible joints, pes planus
What constitutes the two minute orthopedic exam Inspect symmetry, neck ROM, resist shoulder shrug/abduction, internal/external shoulder rotation, elbow flexion/extension, and pronation/supination, clench/spread fingers, back extension, back flexion, contract quads, duck walk, heel and toe standing
“stingers” stretch or compression injury of brachial plexus (C5-T1)
When is it OK to play with a stretch or compression injury of the brachial plexus First episode, no neurologic symptoms
What is post concussion syndrome Headache, dizziness, N/V, memory/attention deficit, may not play until resolve (up to 6 months)
Grade __ concussion= no LOC, confusion <15 min 1
Grade __ concussion= no LOC, confusion >15 min 2
Grade __ concussion= any LOC 3
How soon after a grade 1 concussion can a player get back in the game If symptoms clear in 15 min
How many grade one concussions does it take to remove a player from the game Remove after the second one
When can a player with a grade 2 concussion reenter the game May not return that day, return with negative neuro exam and asymptomatic after 1 week
Treat a grade 3 concussion as a __ injury C spine
Created by: bwyche