What is one important item you learned about gathering a history on an adolescent? For a sports physical?
Did you pick up any ‘red flags’ in the historical data?
What information should always be gathered on an adolescent that you have not previously seen?
………. makes a sports physical unique from other exams?
What are your differential diagnoses?
What further history should be gathered today and why?
Case Study Discussion – Part 2
Physical Examination of Lily:
V/S: Height- 160 cm, Weight- 45 kg, B/P 114/60, HR 90, RR 16, T 98.7, SpO2 99%
Awake, alert, oriented, cooperative. Difficulty with eye contact. Answers questions in short 1-2 word answers. HEENT: Head is normocephalic
Case Study Discussion – Part 3
Written summation of case in SOAP format.