| Examination Red flags |
- Exertional dizziness
- Diastolic murmurs, systolic murmurs (grade 3 or greater)
- History of transient quadaplegia
- Illegal supplement use
- Heat-related illness
- Hypertension (> 140/90)
- Female athleteic triad in females
- may manifest as stress fracture, amenorrhea, or anorexia
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| Cardiac Screening |
- History
- hypertrophic cardiomyopathy, sudden death, murmurs, marfan syndrome, long QT syndrome
- athletes who suffer a sudden cardiac death most commonly have no history of prodromal symptoms
- Physical exam
- exertional symptoms with activity
- may include dyspnea, angina, dizziness, palpitations
- cardiac murmur that increases with valsalva indicates hypertrophic cardiomyopathy
- participation contraindicated with outflow obstruction
|
| Neurologic Screening |
- History
- concussions, loss of consciousness, seizures, transient quadriplegia
- Physical exam
- neuropsychiatric testing at baseline is encouraged to serve as comparative data post-head injury
|