Sports physical (pediatrics) Quiz: Ace Your Exams
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A 17-year-old boy presents to the primary care office for a sports physical for participation in baseball. He is a new patient to the practice and is accompanied by his parent. Medical records from the previous provider have not arrived yet. The patient and his parent have no current concerns. The patient has never had a concussion and does not experience exertional symptoms with exercise. He has no family history of sudden death or cardiac disorders. Temperature is 37.0°C (98.6°F), heart rate is 70/min, respiratory rate is 16/min, blood pressure is 118/72 mmHg, and oxygen saturation is 99% on room air. Body mass index (BMI) is 21 kg/m2 (46th percentile for age). The patient is alert and conversant. Cardiovascular examination reveals no murmurs, rubs, or gallops. Abdominal, musculoskeletal, and neurologic examinations are normal. Which of the following additional findings would be a contraindication to participating in sports?
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