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. 2015 Oct;10(5):676–689.

Table 1.

Patient history and characteristics gathered during initial evaluation

Patient Age Gender Sport Mechanism of Injury Initial Symptoms Current Medications Co‐Morbidites Multidisciplinary Care Concussion History Days Since Concussion
1 15 F Lacrosse Ball to the head Headache, photophobia, phonophobia,difficulty concentrating, sleep disturbance Daily vitamin, ibuprofen, melatonin, riboflavin, amitriptyline* History of migraine, previous concussion Physical Therapy, Sports Medicine, Neuropsychology 2 33
2 18 M Soccer Head‐to‐head contact Headache, photophobia, dizziness Amitripyline, divalproex, naproxen sodium, Coenzyme Q10*, Vitamin D* History of migraine, previous concussion, dizziness Physical Therapy, Sports Medicine, Neurology, Neuropsychology, Vestibular Rehabilitation, Headache Clinic 2 192
3 19 M Swimming Passenger in motor vehicle accident Headache, photophobia, phonophobia, dizziness, sleep disturbance, body aches from impact None, acetimenophen*, amoxicilln* Dizziness Physical Therapy, Sports Medicine 1 19
4 15 M Ice hockey Elbow to side of the head then hit back of head on the ice Feeling “out of it”, photophobia, phonophobia, difficulty being upright, fatigue, fogginess, blurred vision Acetimenophen, butalbital‐acetaminophen‐caffeine, naproxen, sertraline, melatonin*, guaiFENesin*, Vitamin D* History of migraine, previous concussion, psychosocial factors Physical Therapy, Sports Medicine, Neuropsychology 2 77
5 17 M Ice hockey Elbow to head and then a shoulder to head 18 days later Confusion, photophobia, phonophobia, dizziness, fatigue, nausea, difficulty concentrating, sleep disturbance Vitamin D, Coenzyme Q10, ibuprofen, melatonin, methylphenidate, Omega‐3 Amnesia, dizziness, learning disabilities, previous concussion, psychosocial factors Physical Therapy, Sports Medicine, Neuropsychology, Psychiatry 3 86
6 18 F Dance MVA, hit from behind, airbag did not deploy Stress with driving, anxiety, headaches, dizziness, excessive fatigue, sensitivity to light, moodiness, difficulty concentrating and remembering Ibuprofen, melatonin, clonidine, fluoxetine, naproxen sodium* Psychosocial issues, female gender Physical Therapy, Sports Medicine, Psychiatry 1 83
*

these medications were added during the course of the plan of care