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  • Duke Sports Medicine Concussion Evaluation Patient Name: Duke Mr# Dob: Age: Date: School: Injury

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Duke Sports Medicine concussion evaluation Patient Name: Duke MR# DOB: Age: Date: School: Injury Characteristics: Date/Time of Injury Reporter: Patient Parent Spouse Other Injury Description (Check.

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Look for: Changes in day-to-day functioning. Eye pain and/or eye fatigue. Headache. Changes in sleep patterns. Neck pain or stiffness. Imbalance, dropping things, bumping into things. Impaired depth perception (having difficulty seeing the distance between two items) Difficulty remembering things.

One simple concussion assessment test is to shine a low-beam flashlight from the outer edge of each eye inward. Pupils should quickly get smaller (constrict) in response to the light. A slow pupil response to light may be a sign of brain injury (increased intracranial pressure or ICP).

Standardized Assessment of Concussion The SAC takes approximately 5 minutes to administer and does not require a neuropsychologist to evaluate test scores. The test is scored out of 30 with a mean score of 26.6 (McCrea et al., 1996).

The pertinent physical examination elements for concussion include evaluation of cranial nerves, manual muscle testing, and deep tendon reflexes; inspecting the head and neck for trauma or tenderness and cervical range of motion; Spurling maneuver; a static or dynamic balance assessment; screening ocular examination; ...

You also may have a physical exam and testing to check for problems with balance, eye movements and coordination. Computerized or pencil-and-paper concussion screening tools check for problems with thinking and memory. You may be tested to determine how quickly you can answer a question or solve a problem.

Testing may be necessary even if you think the injury isn't serious. That's because it's possible to have a concussion and not even know it. Concussion symptoms usually show up soon after a head injury. But sometimes, they don't show up for hours or days.

Your doctor will recommend that you physically and mentally rest to recover from a concussion. Relative rest, which includes limiting activities that require thinking and mental concentration, is recommended for the first two days after a concussion.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232