Preparticipation Physical Evaluation, 3/e

by Physician And Sports Medicine

• ISBN13: 9780071446365
• ISBN10: 0071446362
• Edition: 3rd
• Format: Paperback
• Copyright: 2004-09-15
• Publisher: PSM - Preparticipation Physical Evaluation

Summary

More than 12 million preparticipation exams (PPE) are conducted yearly in the USA, most schools require a PPE for athletic clearance, and the PPE form is the gold standard for conducting the exams. Featuring an expert panel of six leading medical societies as authors, this improved and expanded edition includes new full-color diagrams, new chapters on disabled athletes, and a more detailed physical examination section.

Author Biography

Editorial Board:
American Academy of Family Physicians
American Academy of Pediatrics
American College of Sports Medicine
American Medical Society for Sports Medicine
American Orthopaedic Society for Sports Medicine
American Osteopathic Academy of Sports Medicine

Table of Contents

Preface	iv
Introduction	1	(2)
Goals and Objectives	3	(2)
Primary objectives	3	(1)
Secondary objectives	3	(2)
Timing, Setting, and Structure	5	(6)
Qualifications of the examiners	5	(1)
Timing of the evaluation	5	(1)
Frequency of the evaluation	6	(1)
Methods and setting of evaluations	6	(2)
Interim annual evaluations	8	(1)
Routine screening tests	8	(3)
Administrative and Legal Concerns	11	(6)
Right to participate	11	(1)
Sexual harassment claims	12	(1)
Good Samaritan statutes	13	(1)
HIPAA and FERPA regulations	13	(2)
Competitions for the physically or cognitively impaired	15	(2)
The PPE Medical History	17	(28)
Medical history	18	(1)
Medications and supplements	18	(1)
Allergies and anaphylaxis	19	(1)
Cardiovascular problems	19	(4)
Surgical history	23	(1)
Musculoskeletal injury	23	(2)
Asthma	25	(1)
Paired organs	26	(1)
Viral illness	26	(1)
Dermatologic conditions	27	(1)
Neurologic conditions	28	(3)
Heat illness	31	(1)
Sickle cell trait or disease	32	(1)
Eyes and vision	32	(1)
Nutritional concerns	33	(2)
General concerns	35	(1)
Menstrual history	35	(1)
Immunizations	35	(1)
Questions for the follow-up interview	36	(9)
The PPE Physical Examination	45	(16)
Height and weight	45	(1)
Head, eyes, ears, nose, and throat (HEENT)	46	(1)
Cardiovascular system	47	(3)
Lungs	50	(1)
Abdomen	50	(1)
Genitalia	50	(1)
Skin	51	(1)
Musculoskeletal system	51	(8)
Neurologic system	59	(2)
Determining Clearance	61	(18)
Clearance considerations	61	(2)
Medication and supplement use	63	(3)
Acute illness	66	(1)
Bloodborne pathogens: HIV and hepatitis	66	(1)
Cardiovascular abnormalities	67	(1)
Dermatologic disorders	68	(1)
Diabetes mellitus	68	(1)
Disordered eating and the female athlete triad	69	(1)
Eye disorders and abnormal vision	70	(2)
Gynecologic disorders and pregnancy	72	(1)
Heat illness (recurrent)	72	(1)
Hepatomegaly and splenomegaly	72	(1)
Inguinal hernia	73	(1)
Kidney abnormalities	73	(1)
Musculoskeletal disorders	73	(1)
Neurologic disorders	74	(2)
Obesity	76	(1)
Physical maturity status	76	(1)
Pulmonary disorders	76	(1)
Testicular disorders	76	(3)
The Athlete With Special Needs	79	(6)
Benefits of sports	79	(1)
PPE for special needs	79	(1)
Methods of evaluation	80	(1)
The PPE medical history	80	(1)
The PPE physical examination	81	(2)
Functional assessment	83	(1)
Diagnostic imaging	83	(1)
Determining clearance	83	(2)
Future Considerations for Preparticipation Exams	85	(7)
Key directions	85	(1)
Electronic opportunities	85	(1)
Electronic PPE pilot project	86	(3)
Paper-to-electronic approach	89	(1)
Considerations for electronic implementation	89	(2)
Future transitions	91	(1)
Conclusion	92	(1)
Forms	93
History form	93	(1)
Physical examination form	94	(1)
Clearance form	95	(2)
Appendices
Appendix A. Example of a college PPE consent form	97	(1)
Appendix B. Example of a `teen screen' used in Minnesota	98