AKA: Sports and Exercise Clearance, Sports Physical Evaluation, Preparticipation Physical Evaluation (PPE).
-See History.
-Normal vital signs. Normal vision, hearing.
-Heart (CV) and lung exam are normal. Normal femoral pulses (to r/o aortic coarctation).
–Musculoskeletal exam – normal.
-Marfan screen – Normal
-No need for screening EKG, CXR, echo, blood work or UA in this asymptomatic patient.
-Pt is evaluated for PPE and underwent the 12-step AHA preparticipation screening. No abnormalities revealed that would preclude participation in sport.
-Counseling: Pt counseled on preventative measures to prevent common injuries while participating in sports. Appropriate anticipatory guidance provided.
—END—
Organ systems to cover in history:
Head, Heart, Lungs, Musculoskeletal, Blood, Kidneys, etc.
Quick Links
References
Am Fam Physician. 2015 Sep 1;92(5):371-376. http://www.aafp.org/afp/2015/0901/p371.html
http://www.aafp.org/afp/2000/0501/p2696.html
http://www.acc.org/latest-in-cardiology/articles/2014/09/15/14/24/acc-aha-release-recommendations-for-congenital-and-genetic-heart-disease-screenings-in-youth