SOLVED. ennifer is a 10-year-old female who is having her first sports preparticipation physical. She has no significant medial history and her review of systems is within normal limits. Abdominal examination reveals the spleen palpable approximately 1 cm beyond the costal margin. The NP instructs Jennifer’s father that: QID: 4797172Mark For Review She may have had mononucleosis recently. This is a normal finding at that age. She cannot sign the sports physical until this resolves. An ultrasound should be performed