Samantha Monroe shadow health Subjective data
Patient Data: While not scored, a mix of open and closed questions helps gather better patient data. The details provided are factual aspects of the patient’s case.
Table of Contents
Confirmed Guardian’s Relationship
Details:
Questioned about relationship with patient
Result: Confirms being Samantha’s mother
Pro Tip: Verifying the patient’s relationship with their guardian ensures legal and ethical patient privacy protections, ensuring you’re speaking with someone who has access to the patient’s information.
Example Question: What is your relationship to the patient?
Chief Complaint
Details:
Questioned about reason for visit
Result: Needs sports physical for soccer
Pro Tip: Confirming the purpose of the visit is crucial for determining the exam’s scope. Knowing the patient seeks a pre-participation evaluation guides your conversation and informs physical exam actions, ensuring the patient is healthy enough to participate in sports.
Example Question: What brings you into the clinic?
Past Medical History
Details:
Questioned about medical conditions
Result: Denies having any medical conditions
Pro Tip: Reviewing the patient’s past medical history reveals any conditions that may restrict sports participation. Consider the specific sport, as risks vary.
Example Question: Do you have any medical conditions?
Details:
Questioned about history of surgery
Result: Reports only having a tonsillectomy
Pro Tip: Past medical history discussion identifies conditions affecting sports participation. Consider the sport’s demands.
Example Question: Have you ever had surgery?
Details:
Questioned about missing organs
Result: Denies missing organs
Pro Tip: Past medical history discussion identifies conditions affecting sports participation. Consider the sport’s demands.
Example Question: Are you missing any organs?
Details:
Questioned about allergies
Result: Denies being allergic to insects (Available)
Pro Tip: Discussing past medical history reveals conditions affecting sports participation. Tailor questions to the specific sport.
Example Question: Are you allergic to insects?
Result: Denies environmental allergies (Available)
Pro Tip: Discussing past medical history reveals conditions affecting sports participation. Tailor questions to the specific sport.
Example Question: Are you allergic to pollen?
Result: Denies food allergies (Available)
Pro Tip: Discussing past medical history reveals conditions affecting sports participation. Tailor questions to the specific sport.
Example Question: Do you have food allergies?
Result: Denies medication allergies (Available)
Pro Tip: Discussing past medical history reveals conditions affecting sports participation. Tailor questions to the specific sport.
Example Question: Do you have medication allergies?
Details:
Questioned about immunizations
Result: Reports being up to date on all immunizations
Pro Tip: Discussing past medical history reveals conditions affecting sports participation. Tailor questions to the specific sport.
Example Question: Are your vaccinations up to date?
Home Medications
Details:
Questioned about medications
Result: Denies taking medications
Pro Tip: Knowing the patient’s medications helps understand their conditions and manage risks for sports participation. Pay attention to vitamins and supplements, which are crucial for athletes’ health.
Example Question: Do you take any medications?
Details:
Questioned about vitamins and supplements
Result: Reports taking a multivitamin
Pro Tip: Knowing the patient’s medications helps understand their conditions and manage risks for sports participation. Pay attention to vitamins and supplements, which are crucial for athletes’ health.
Example Question: Do you take vitamins?
Result: Reports drinking apple cider vinegar
Pro Tip: Knowing the patient’s medications helps understand their conditions and manage risks for sports participation. Pay attention to vitamins and supplements, which are crucial for athletes’ health.
Example Question: Do you take supplements?
Result: Reports belief that apple cider vinegar gives her energy (Available)
Pro Tip: Knowing the patient’s medications helps understand their conditions and manage risks for sports participation. Pay attention to vitamins and supplements, which are crucial for athletes’ health.
Example Question: How do supplements help you?
Review of Systems
Details:
Questioned about passing out during or after exercise
Result: Denies passing out during exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you passed out during soccer?
Result: Denies passing out after exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you passed out after soccer?
Result: Reports feeling dizzy during gym class
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you passed out during or after exercise?
Details:
Questioned about dizziness
Result: Reports dizziness was due to skipping lunch
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Can you tell me more about feeling dizzy?
Result: Reports she only felt dizzy once or twice
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: How often are you dizzy?
Result: Reports the last time she felt dizzy was last week (Available)
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: When did you last feel dizzy?
Details:
Questioned about heart problems during and after exercise
Result: Denies heart problems during exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you had heart problems during exercise?
Result: Denies heart problems after exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you had heart problems after exercise?
Details:
Questioned about diagnosed heart problems
Result: Denies ever being told she has a heart problem
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Do you have known heart problems?
Details:
Questioned about heart tests
Result: Denies having any heart tests (Available)
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you ever had any heart tests?
Details:
Questioned about breathing during and after exercise
Result: Denies breathing problems during exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: How is your breathing during exercise?
Result: Denies breathing problems after exercise
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: How is your breathing after exercise?
Details:
Questioned about history of seizures
Result: Denies ever having a seizure
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you ever had a seizure?
Details:
Questioned about history of fainting
Result: Denies ever fainting
Pro Tip: For pre-participation evaluation, tailor questions to the patient and their sport(s). Key systems include respiratory, musculoskeletal, and neurological.
Example Question: Have you ever fainted?
Psychosocial History
Details:
Questioned about relationships with friends
Result: Reports having many friends at school
Pro Tip: Understanding the patient’s social relationships can affect their emotional well-being and performance. Explore family dynamics and peer relationships, which influence their health behaviors and risks.
Example Question: How are your relationships with your friends?
Details:
Questioned about feelings of sadness or depression
Result: Denies feeling sad or depressed
Pro Tip: Understanding the patient’s emotional well-being is crucial. Screen for depression and stress, which can affect physical health and sports performance.
Example Question: Have you been feeling down lately?
Details:
Questioned about stressors
Health Assessment (Comprehensive) for Patients and Populations
Result: Reports feeling stressed about upcoming exams
Pro Tip: Identifying stressors helps tailor interventions and support, promoting resilience and mental well-being, which influence sports performance and overall health.
Example Question: Are you feeling stressed about anything?
Details:
Questioned about bullying
Result: Reports not being bullied
Pro Tip: Explore experiences of bullying, which affect emotional well-being and may impact sports participation and overall health.
Example Question: Have you ever experienced bullying?
Sexual Activity
Details:
Questioned about sexual activity
Result: Reports being sexually active
Pro Tip: Discussing sexual activity is important for understanding risks, including pregnancy and sexually transmitted infections. Ensure confidentiality and provide accurate information.
Example Question: Are you sexually active?
Safety
Details:
Questioned about seatbelt use
Result: Reports always wearing a seatbelt (Available)
Pro Tip: Assessing safety behaviors helps identify risks and promote injury prevention, influencing overall health and sports participation.
Example Question: Do you always wear your seatbelt?
Details:
Questioned about helmet use
Result: Reports always wearing a helmet when biking (Available)
Pro Tip: Assessing safety behaviors helps identify risks and promote injury prevention, influencing overall health and sports participation.
Example Question: Do you always wear a helmet when biking?
Details:
Questioned about smoke detector use
Result: Reports having smoke detectors in the house
Pro Tip: Assessing safety behaviors helps identify risks and promote injury prevention, influencing overall health and sports participation.
Example Question: Do you have smoke detectors in your house?
Substance Use
Details:
Questioned about smoking
Result: Denies smoking cigarettes
Pro Tip: Assessing substance use is crucial for understanding risks and promoting healthy behaviors, which influence overall health and sports participation.
Example Question: Do you smoke cigarettes?
Details:
Questioned about alcohol use
Result: Denies drinking alcohol
Pro Tip: Assessing substance use is crucial for understanding risks and promoting healthy behaviors, which influence overall health and sports participation.
Example Question: Do you drink alcohol?
Details:
Questioned about drug use
Result: Denies using drugs
Pro Tip: Assessing substance use is crucial for understanding risks and promoting healthy behaviors, which influence overall health and sports participation.
Example Question: Do you use drugs?
Details:
Questioned about use of protective gear during sports
Result: Reports always wearing shin guards during soccer (Available)
Pro Tip: Assessing safety behaviors helps identify risks and promote injury prevention, influencing overall health and sports participation.
Example Question: Do you always wear protective gear during sports?
Samantha Monroe shadow health Subjective data
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
-
Found:
Indicates an item that you found.
-
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Confirmed Guardian’s Relationship
- Finding:Asked about relationship with patient
- Finding:Reports being Samantha’s mother
(Found)
Pro Tip: Confirming the patient’s relationship with their guardian ensures that you are observing legal and ethical protections for patient privacy, and that you are speaking with someone who has access to the patient’s information.Example Question:
What is your relationship to the patient?
Chief Complaint
Finding:
Asked about reason for visit
Finding:
Reports needing sports physical for soccer
(Found)
Pro Tip: Confirming the purpose of a patient’s visit is important for determining the scope of the exam. Knowing that a patient is seeking a pre-participation evaluation will guide your conversation and inform the physical exam actions that you take, all with the goal of determining if a patient is healthy enough to participate in sports. It is also important to know which sport(s) the patient plays. Some sports have a higher risk of concussions, while other may require participants to maintain a certain weight. Individual considerations must be made for each type of activity.Example Question:
What brings you into the clinic?
Past Medical History
Finding:
Asked about medical conditions
Finding:
Denies having any medical conditions
(Found)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Do you have any medical conditions?
Finding:
Asked about history of surgery
Finding:
Reports only having a tonsillectomy
(Found)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Have you ever had surgery?
Finding:
Asked about missing organs
Finding:
Denies missing organs
(Found)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Are you missing any organs?
Finding:
Asked about allergies
Finding:
Denies being allergic to insects
(Available)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Are you allergic to insects?
Finding:
Denies environmental allergies
(Available)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Are you allergic to pollen?
Finding:
Denies food allergies
(Available)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Do you have food allergies?
Finding:
Denies medication allergies
(Available)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Do you have medication allergies?
Finding:
Asked about immunizations
Finding:
Reports being up to date on all immunizations
(Found)
Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf.Example Question:
Are your vaccinations up to date?
Home Medications
Finding:
Asked about medications
Finding:
Denies taking medications
(Found)
Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.Example Question:
Do you take any medications?
Finding:
Asked about vitamins and supplements
Finding:
Reports taking a multivitamin
(Found)
Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.Example Question:
Do you take vitamins?
Finding:
Reports drinking apple cider vinegar
(Found)
Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.Example Question:
Do you take supplements?
Finding:
Reports belief that apple cider vinegar gives her energy
(Available)
Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.Example Question:
How do supplements help you?
Review of Systems
Finding:
Asked about passing out during or after exercise
Finding:
Denies passing out during exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you passed out during soccer?
Finding:
Denies passing out after exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you passed out after soccer?
Finding:
Reports that she has felt dizzy during gym class
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you passed out during or after exercise?
Finding:
Asked about dizziness
Finding:
Reports dizziness was due to skipping lunch
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Can you tell me more about feeling dizzy?
Finding:
Reports she only felt dizzy once or twice
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
How often are you dizzy?
Finding:
Reports the last time she felt dizzy was last week
(Available)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
When did you last feel dizzy?
Finding:
Asked about heart problems during and after exercise
Finding:
Denies heart problems during exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you had heart problems during exercise?
Finding:
Denies heart problems after exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you had heart problems after exercise?
Finding:
Asked about diagnosed heart problems
Finding:
Denies ever being told she has a heart problem
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you have known heart problems?
- Finding:Asked about heart tests
- Finding:Denies having any heart tests
(Available)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you ever had any heart tests?
Finding:
Asked about breathing during and after exercise
- Finding:Denies breathing problems during exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
How is your breathing during exercise? - Finding:Denies breathing problems after exercise
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
How is your breathing after exercise?
Finding:
Asked about history of seizures
Finding:
Denies ever having a seizure
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you ever had a seizure?
- Finding:Asked about musculoskeletal injuries
- Finding:Reports spraining her ankle when she was ten
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you had a stress fracture? - Finding:Denies current musculoskeletal injuries
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you have any current musculoskeletal problems?
- Finding:Asked about rashes
Finding:
Denies rashes
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you have any rashes?
Finding:
Asked about history of head injuries
Finding:
Denies ever having a head injury
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you had a head injury?
Finding:
Denies concussions
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you had a concussion?
- Finding:Asked about numbness, tingling, and weakness in limbs
- Finding:Denies numbness in limbs
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you ever have numbness in your limbs?
Finding:
Denies tingling in limbs
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you feel tingling in your limbs?
Finding:
Denies weakness in limbs
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you have weakness in your limbs?
- Finding:Asked about exercising in the heat
- Finding:Reports becoming ill in the heat once in the 5th grade
(Available)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you ever become sick exercising in the heat?
- Finding:Asked about HEENT
Finding:
Denies eye problems
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Do you have any eye problems?- Finding:Denies vision problems
(Available)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
How is your vision?
Finding:
Denies hearing problems
(Available)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
How is your hearing?
- Finding:Asked about menstrual period
- Finding:Reports she hasn’t started her menstrual period
(Found)
Pro Tip: For a pre-participation evaluation, it is important to tailor your questions to the individual patient and to their identified sport(s). For many sports, it is important to hit on several key systems: respiratory, musculoskeletal, and neurological. Uncovering any issues in these areas will help you determine if a patient is healthy enough to participate in sports or if their participation should be restricted due to health risks.Example Question:
Have you started menstruating?
Family Medical History
Finding:
Asked about relevant family medical history
- Finding:Denies any family members having a genetic heart condition
(Found)
Pro Tip: Discussing family medical history can allow you to uncover any genetic risks to the patient. For pre-participation evaluations, it is important to focus on a family history of cardiac issues, as this could yield important information relating to the patient’s cardiac health.Example Question:
Does anyone in your family have a genetic heart condition? - Finding:Denies family members dying of cardiac problems
(Available)
Pro Tip: Discussing family medical history can allow you to uncover any genetic risks to the patient. For pre-participation evaluations, it is important to focus on a family history of cardiac issues, as this could yield important information relating to the patient’s cardiac health.Example Question:
Has anyone in your family died of heart problems?
Finding:
Denies any unexpected deaths before the age of 35
(Available)
Pro Tip: Discussing family medical history can allow you to uncover any genetic risks to the patient. For pre-participation evaluations, it is important to focus on a family history of cardiac issues, as this could yield important information relating to the patient’s cardiac health.Example Question:
Has anyone in your family died unexpectedly at a young age?- Finding:Denies any family members having a pacemaker before age 35
(Found)
Pro Tip: Discussing family medical history can allow you to uncover any genetic risks to the patient. For pre-participation evaluations, it is important to focus on a family history of cardiac issues, as this could yield important information relating to the patient’s cardiac health.Example Question:
Does anyone in your family have a pacemaker?
Social History
- Finding:Asked about perception of weight
- Finding:Reports feeling like she needs to lose baby fat
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
How do you feel about your overall health?
Finding:
Reports comparing herself to friends
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
How do you feel about your weight?
- Finding:Followed up on perception of weight
- Finding:Reports wanting to look athletic
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
What makes you want to lose weight? - Finding:Reports feeling like she doesn’t fit in
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
Can you tell me more about feeling different than your friends?
- Finding:Asked about diet
- Finding:Reports being on the Mediterranean diet
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
What is your diet like?
Finding:
Reports avoiding sweets, “white carbs,” and processed foods
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
Do you avoid any foods?
Finding:
Reports skipping lunch once or twice each week
(Found)
Pro Tip: Discussing a patient’s social history is important for building rapport, understanding relevant aspects of daily living, and discovering risk factors that may have an impact on their ability to participate in sports. With athletes, it is important to focus on areas such as diet, while other areas such as substance use, alcohol use, and sexual activity may be discussed after asking a guardian to briefly step outside the room.Example Question:
What are your eating habits?
Finding:
Reports skipping meals for the past month
