Complete patient information below.

Complete the physical assessment documentation per the sports physical requirements. Part I is not performed in the video submission but for your learning practice on sports physical documentation: NU552 journal assignment.

Place N in the Normal Column. Place AB in the Abnormal column with a comment if you choose. There does not need to be abnormal findings. If so you must comment.

You must add comments in the heart and genitalia sections (as if for a male). 

This is for your learning.

The patient History is completed by the parent first, then an ROS; which are not a part of this journal exercise.

HT 5/10    WT 190

T- 98 P-70 R-15 B/P110/7 

pupillary size, reaction to light,

peripheral vision,

(female deferred)

Part II Complete the MS and Peripheral Vascular exam documentation as in a physical exam for this component of a sport physical exam with detail and specifics as would be appropriate for this specialty exam. This should be more than Normal or Abnormal for this journal exercise. Sign the form by typing your name or using the draw feature.

·         Neck: Full ROM in flexion, extension, and lateral bending, bilateral muscle bulk and tone, no pain observed during rotation

·         Shoulders: Full abduction, adduction, flexion, extension, internal and external rotation, no pain or tenders to palpation

·         Elbows & Wrists: Full ROM in flexion, extension, underpronation, and pronation, no pain or joint tenderness observed during all exams. No deformities on the elbow and wrist joints.

·         Entire arm: Symmetrical muscle bulk and tone observed on biceps, triceps, and forearm bilaterally. 5/5 muscle strength on all points.

·         Hips & Knees: Full ROM during flexion and extension. No limitations or discomfort observed. No knee pain, warmth, or tenderness. Symmetrical muscle bulk and tone observed bilaterally. Able to squat and do lunges without hip and knee pain or limitation.

·         Ankles: Full ROM on dorsiflexion, plantarflexion, inversion, and eversion. No pain and tenderness over the joints bilaterally.

·         Entire leg: Symmetrical muscle bulk and tone observed on quadriceps, hamstrings, and calves bilaterally. Quadriceps, hamstrings, and calf strength 5/5 bilaterally. Able to toe and heel walk without pain or deficits

·         Spine: Posture is erect, no tenderness or pain along the vertebrae

Peripheral Vascular

·         Skin: No varicosities. Skin color is appropriate for ethnicity at the extremities bilaterally. No edema on all extremities

·         Pulse: 2+ all through brachial, radial, femoral, popliteal, posterior tibial, and dorsalis pedis bilaterally.

·         Capillary refill: <2 seconds

For instance, physicians can make use of a patient’s history with musculoskeletal pain and combine it with diagnostic imaging to make clinical decisions that correctly diagnose such musculoskeletal pain conditions (Cuff, 2024). For the above case, a physician can use the clinical guidelines for practice provided by the American Academy of Orthopaedic Surgeons (n.d.) to best assess the athlete and guide further decisions, including clearing her to participate in sports or identifying any at-risk conditions early that may threaten her performance.