II. Exam: General

  1. Height
  2. Weight
  3. Body habitus
  4. Vital Signs

III. Exam: Eye

  1. Visual Acuity
    1. Blind in one eye OR
    2. Severe Myopia (Corrected worse than 20/50 in 1 eye)
  2. Protective eye wear (Glasses, Contact Lenses)
  3. Amblyopia
  4. Anisocoria
  5. Detached Retina
  6. Early Coronary Artery Disease changes
  7. Diabetic Retinopathy

IV. Exam: Cardiovascular

  1. Examination points
    1. Blood Pressure
    2. Pulse
      1. Rate and rhythm
      2. Distal pulse quality and symmetry
    3. Cardiac auscultation
  2. Indications for Hypertension further evaluation
    1. Age <10 years old: Blood Pressure >130/75
    2. Age >10 years old: Blood Pressure >140/85
  3. Heart Murmurs
    1. Evaluate in 2 positions (e.g. Standing and squatting)
    2. Evaluate with Valsalva
    3. Indications for further evaluation
      1. Murmur grade 3 of 6 or louder
      2. Any Diastolic Murmur
      3. Murmur accentuated with Valsalva
        1. Suggests Hypertrophic Cardiomyopathy
    4. Further cardiac testing
      1. Electrocardiogram
      2. Stress EKG
      3. Echocardiogram
  4. Other findings requiring further evaluation
    1. Cyanosis

V. Exam: Pulmonary

  1. Diaphragm excursion
  2. Breath Sounds
  3. Asthma
  4. Bronchitis

VI. Exam: Gastrointestinal

  1. Abdominal Masses
  2. Organomegaly
  3. Hepatosplenomegaly
  4. Kidney size

VII. Exam: Dermatologic

  1. Acne Vulgaris
  2. Infectious rash (e.g. Herpes Simplex Virus)
  3. Atopic rash
  4. Suspicious nevi
  5. Surgical and Traumatic Scars

VIII. Exam: Musculoskeletal

  1. Orthopedic screening: Brief Musculoskeletal Exam
  2. Back
    1. Scoliosis
    2. Kyphosis or Lordosis
  3. Knee and ankle (unstable)
  4. Shoulder (Recurrent dislocation)
  5. Assess elbow stability
  6. Painful Osgood Schlatter disease
  7. Marfan's Syndrome

IX. Exam: Neurologic

  1. Gross coordination
  2. Gait Abnormality

X. Exam: Genitourinary Male

  1. Testicles
    1. Single unpaired Testicle
    2. Undescended Testicle (Cryptorchidism)
    3. Testicular Masses
  2. Inguinal Hernia
  3. Tanner stage
    1. See Sexual Development in Boys
  4. Discuss Self-Testicle exam
    1. Testicular Cancer peak Incidence in age 18-35 years

XI. Exam: Genitourinary Female

  1. No longer done routinely with Sports Physical now
  2. Schedule separate gynecologic exam if indicated
  3. Ask about Amenorrhea (Female Athlete Triad)
  4. Tanner Staging or Menstrual dating
    1. See Sexual Development in Girls

Images: Related links to external sites (from Bing)

Related Studies (from Trip Database) Open in New Window

Ontology: Examination for participation in sport (C0476715)

Concepts Finding (T033)
ICD10 Z02.5
SnomedCT 316551002
English Exam/participation in sport, Examination for participation in sport, [V]Examination for participation in sport (context-dependent category), [V]Exam/participation in sport, [V]Examination for participation in sport, [V]Examination for participation in sport (situation), examination; medical, participation in sport, examination; medical, sport
Spanish [V]examen para la participación deportiva (categoría dependiente del contexto), [V]examen para la participación deportiva, [V]examen para la participación deportiva (situación)
German Untersuchung zur Teilnahme am Sport
Korean 운동 경기 참가를 위한 검사
Dutch onderzoek; medisch, deelname aan sport, onderzoek; medisch, sport, Sportkeuring