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Medicine
A 19 year old male came for routine physical examination prior to playing for a college basketball team. He takes no medications and has no allergies. In his family history his father & his uncle died at the age of around 40 with sudden cardiac death. However, his mother is healthy. O/E- his height is 195 cm, weight is 92 kg. He has pectus excavatum and arachnodactyly. A high-arched palate is present. He wears glasses for severe myopia and has had ectopia lentis on the right. A diastolic murmur is heard in the left third intercostal space. What will you advise him?
He is not safe for fuher competitive basketball or other strenuous physical activities.
He is safe to resume physical activity without fuher evaluation.
He may continue to practice with the team while fuher evaluation with an echocardiogram, slit lamp examination, and genetic testing is performed.
He should be placed on a b-blocker and then can resume physical activity.
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