Headings
Sport · Medical history · Cardiac screening questions · Examination · Musculoskeletal exam · Clearance decision · Recommendations
When to use it
Use this for preparticipation exams before a school or club season. It centers on cardiac screening questions and a musculoskeletal exam, and it ends with a clear clearance decision the school or coach can act on. It is not a full well visit, so pair it with one when other care is due.
Example
Fictional example
Sport
K.R., 15. High school soccer, varsity.
Medical history
Mild intermittent asthma, uses albuterol about once a month with running. Left ankle sprain last season, fully recovered.
Cardiac screening questions
No chest pain, fainting or palpitations with exercise. No family history of sudden death before age 50.
Examination
BP 112/68, pulse 62. No murmur standing or squatting. Lungs clear. Vision 20/20 both eyes.
Musculoskeletal exam
Full range of motion all joints. Left ankle stable, mild laxity on anterior drawer. Single leg hop symmetric.
Clearance decision
Cleared for all sports without restriction.
Recommendations
Albuterol 2 puffs 15 minutes before practice. Ankle strengthening and balance drills. Consider lace-up brace for games.