Consider the following scenario:
A 16-year-old male presents for a sports participation examination.
He has no significant medical history and no family history suggestive
of risk for premature cardiac death. The patient is examined while
sitting slightly recumbent on the exam table and the advanced practice
nurse appreciates a grade II/VI systolic murmur heard loudest at the
apex of the heart. Other physical findings are within normal limits, the
patient denies any cardiovascular symptoms, and a neuromuscular
examination is within normal limits. He is cleared with no activity
restriction. Later in the season he collapses on the field and dies.
To Prepare Consider how you would diagnose and prescribe treatment for the patient.
Patient factors: genetics
Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
Post a description of how you would diagnose and prescribe treatment for the patient in the scenario.
Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.
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