The PNP is seeing a 14-year boy for a pre-participation spor…
The PNP is seeing a 14-year boy for a pre-participation sports physical. He hopes to play as a wide receiver on his high school’s football team. The PNP reviews his medical history. He was diagnosed with generalized tonic-clonic seizures at age 6. Seizure disorders in children are the result of . He is well-controlled on valproic acid, having had only 2 seizures in the past 3 years, both associated with an intercurrent illness. There is no history of status epilepticus, head trauma, or other neurologic abnormalities, and he maintains a C+ average in school, as he struggles due to a learning disability, which is defined as . Past medical history is otherwise unremarkable. Growth and development have been normal and immunizations are current, except for his HPV immunization, which his mother declined, despite your education that it would decrease his risk for . Vital signs are normal. Examination is unremarkable. The PNP clears him to play football.