AOSSM/AAOS Orthopaedic Sports Medicine Review Course-Medical Issues: Cardiac/Pulmonary/Environmental Illness/Eating Disorders

Video Transcription

Video Summary

In the video, Dr. Tom Best from the University of Miami covers several medical issues related to sports participation. He emphasizes the importance of the pre-participation evaluation (PPE), which includes identifying medical conditions that may affect sports participation, determining any contraindications, and meeting legal and insurance requirements. The PPE now focuses more on mental health and the female athlete.<br /><br />Dr. Best discusses two specific conditions: exercise-induced bronchoconstriction (EIB) and vocal cord dysfunction (VCD). EIB is characterized by bronchial muscle constriction, airway inflammation, cytokine release, and mucus production. Diagnosis is based on a drop in FEV1 greater than 10%, and treatment typically involves using bronchodilators. VCD, often misdiagnosed as asthma, involves improper vocal cord abduction during expiration, leading to breathing difficulties. Treatment involves speech therapy and addressing reflux issues.<br /><br />Other topics covered include heat, cold, and altitude; collapsed athletes and their differential diagnosis; physiological adaptations to heat; nutritional requirements for athletes, focusing on carbohydrates and protein; exercise during pregnancy, deemed safe for most healthy pregnant women; anemia and menstrual dysfunction; and the female triad, which combines disordered eating, amenorrhea, and abnormal bone loss.<br /><br />The video offers comprehensive information on these topics, emphasizing the importance of medical evaluation and management for athletes' safety and performance.<br /><br />Credits: Dr. Tom Best from the University of Miami.

Asset Caption

Thomas M. Best, MD, PhD

Meta Tag

Author Thomas M. Best, MD, PhD

Date August 10, 2019

Title Medical Issues: Cardiac/Pulmonary/Environmental Illness/Eating Disorders

Keywords

sports participation

pre-participation evaluation

medical conditions

mental health

exercise-induced bronchoconstriction

vocal cord dysfunction

heat

nutritional requirements

athlete safety