Matters Of The Heart: Sports Clearance Physicals

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Matters Of The Heart: Sports Clearance Physicals - Page #1

Author: Miriam Reece, MD Co Author #1: Dr. Ken Taylor Co Author #2: Dr. Suraj Achar Patient Presentation: An 18 year old male recruited to play Division I Water Polo presented for his pre-participation physical evaluation . History: The patient's medical history was unremarkable. He had no surgical history, no allergies, and was taking no medications or recreational drugs. ROS: A thorough ROS was unrevealing. <br>Specifically, there were no palpitations, chest pain, shortness of breath, presyncope, or syncope with exertion. <br>Family History: paternal grandfather with coronary artery bypass surgery in his seventies. Physical Exam: Well developed, well nourished male in no distress. Vital signs were normal except the palpated pulse was irregular. Cardiac exam revealed an irregularly irregular rhythm at 54 bpm with a normal S1 and S2, and no S3 or S4. Normal PMI. No murmur heard standing, sitting, supine, or with valsalva. No rubs appreciated. <br> The remainder of the exam was normal. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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