Adolescent wellness visit in a 17-year-old boy
Outpatient Pediatrics & Adolescent Medicine ClinicJordan Vance · 17yo male · CC: Annual wellness visit and varsity basketball physical
History
0/4 key findingsAsk the questions your differential demands — not just the ones the case volunteers. Every diagnosis you intend to list owes you one discriminating question.
CASE SETTING: OUTPATIENT PEDIATRICS & ADOLESCENT MEDICINE CLINIC
Jordan Vance, a 17-year-old boy presenting for an adolescent wellness visit and varsity basketball clearance
Vitals
Opening
Jordan Vance, a 17-year-old high school junior, presents to the Outpatient Pediatrics Clinic for his annual adolescent wellness visit and preparticipation sports clearance form ahead of varsity basketball tryouts next week. He appears healthy and energetic and hands you his school athletic clearance form.
Triage note
17-year-old male here for routine annual wellness visit and varsity basketball preparticipation evaluation. Vitals: BP 118/72, HR 68, RR 14, BMI 22.4 kg/m² (65th percentile).
From the patient
"I feel great overall—tryouts for varsity point guard are next Monday, so I just need my sports physical signed today."
Jordan Vance · 17yo male
Athletic 17-year-old boy sitting comfortably on the exam table in basketball shorts and a t-shirt