Nurs Adolescent Physical Assignment Help: How to Answer This Question

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Original Question

NURS 8120 Adolescent Physical Exam Case Study Chief Complaint “Experiencing chest pain while running, especially during soccer games.” History of Present Illness Tyrone is a 16-year-old African American male attending your clinic for a sports participation physical exam. His last physical exam was one year ago. He is an avid soccer player with no prior medical history, presents to the clinic with a concerning history of recurrent chest pain that has been manifesting for approximately 2 months. The episodes of chest pain are specifically triggered during physical exertion, notably after 20 to 30 minutes of playing soccer. The pain is described as a sharp, localized discomfort in the left anterior chest wall and/or the substernal area, which is the chest area overlying the heart. The intensity of the pain varies, but it has been significant enough to cause him to stop playing and take breaks during games. The patient reports that the pain typically resolves upon cessation of physical activity. He has not noticed any progressive worsening or intensification of the symptoms over the last 2 months. There have been occasional episodes of excessive sweating associated with the painful episodes. In addition to chest pain, the patient reports occasional episodes of lightheadedness that coincide with the pain. These episodes are transient but have raised concerns for the patient and his family. There have been no instances of syncope (fainting), palpitations, or SOB. The symptoms are not associated with meals, emotional stress, or other specific triggers apart from physical exertion. The patient has not taken any OTC medications for the symptoms and has no history of obesity, high cholesterol, HTN, DM, or mental health issues (anxiety/depression). There is no known family history of CVD or sudden cardiac death at a young age. Physical Examination â– Vitals: T 37°C (98.6°F), P 85, R 18, BP 120/75, WT 50 kg (110), HT 157.5 cm (62 in.), BMI 20.1. â– General: The patient appears to be a well-nourished, A&O 12-year-old male in no acute distress. He is cooperative and communicates clearly about his symptoms. Critical Thinking Questions: What significant questions do you need to ask in relation to his pre-participation physical exam? What other areas should be the focus of the physical exam? What significant aspects of the physical examination should be completed for Tyrone as an adolescent? What specific tests should be part of this sports physical? What health promotion and health maintenance issues would you discuss with Tyrone?

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