20 Year Old Male Basketball Player

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A Caucasian, 20 year old male basketball player complained of frequent shortness of breath and chest pain especially when active. He is tall; thin build with long arms, legs, fingers, and toes and flexible joints. He also has a chest that sinks in or sticks out, crowded teeth and flat feet. Recently, when he is playing basketball his breathing is very short and he is having pain in his chest. He is a pro-basketball player in France and he has been playing since his freshman year of high school and he regularly works out at the gym, but symptoms are making it hard for him to continue his normal routine. During a pre-participation physical examination, a physician detected a grade 1/6 systolic ejection murmur. The doctor ordered the patient to

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