Guides to the Evaluation of Permanent Impairment, fifth edition

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ISBN: 9781579470852 | 1579470858
Cover: Nonspecific Binding
Copyright: 1/9/2001

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Major reference source for assessing and rating an individual's permanent impairment in the United States and abroad. Includes chapter outlines, boldface terms, interpretation of signs and symptoms, principles of assessment, criteria for rating permanent impairment, description of clinical procedures, and impairment evaluation summary. Previous edition: c1993.

Philosophy, Purpose, and Appropriate Use of the Guides

(17)

History

(1)

Impairment, Disability, and Handicap

(7)

The Organ System and Whole Body Approach to Impairment

(1)

Philosophy and Use of the Combined Values Chart

(1)

Incorporating Science With Clinical Judgment

(1)

Causation, Apportionment Analysis, and Aggravation

(1)

Use of the Guides

(1)

Impairment Evaluations in Workers' Compensation

(1)

Employability Determinations

(1)

Railroad and Maritime Workers

(1)

The Physician's Role Based on the Americans with Disabilities Act (ADA)

(1)

Summary

(2)

Practical Application of the Guides

(8)

Defining Impairment Evaluations

(1)

Who Performs Impairment Evaluations?

(1)

Examiners' Roles and Responsibilities

(1)

When Are Impairment Ratings Performed?

(1)

Rules for Evaluation

(2)

Preparing Reports

(4)

The Cardiovascular System: Heart and Aorta

(40)

Principles of Assessment

(3)

Vavular Heart Disease

(6)

Coronary Heart Disease

(7)

Congenital Heart Disease

(5)

Cardiomyopathies

(5)

Pericardial Heart Disease

(4)

Arrhythmias

(4)

Cardiovascular Impairment Evaluation Summary

(5)

The Cardiovascular System: Systemic and Pulmonary Arteries

(22)

Hypertensive Cardiovascular Disease

(4)

Diseases of the Aorta

(3)

Vascular Diseases Affecting the Extremities

(6)

Diseases of the Pulmonary Arteries

(3)

Cardiovascular Impairment Evaluation Summary

(5)

The Respiratory System

(30)

Principles of Assessment

(1)

Symptoms Associated With Respiratory Disease

(1)

Tobacco Use and Environment Exposure Associated With Respiratory Disease

(1)

Examinations, Clinical Studies, and Other Tests for Evaluating Respiratory Disease

(11)

Asthma

102

(3)

Obstructive Sleep Apnea

105

(1)

Hypersensitivity Pneumonitis

105

(1)

Pneumoconiosis

106

(1)

Lung Cancer

106

(1)

Permanent Impairment Due to Respiratory Disorders

107

(5)

Respiratory Impairment Evaluation Summary

112

(5)

The Digestive System

117

(26)

Principles of Assessment

118

(2)

Upper Digestive Tract

120

(8)

Colon, Rectum, and Anus

128

(4)

Enterocutaneous Fistulas

132

(1)

Liver and Biliary Tract

133

(3)

Hernias

136

(2)

Digestive System Impairment Evaluation Summary

138

(5)

The Urinary and Reproductive Systems

143

(30)

Principles of Assessment

144

(1)

The Urinary System

144

(1)

Upper Urinary Tract

145

(5)

Urinary Diversion

150

(1)

Bladder

151

(2)

Urethra

153

(4)

Male Reproductive Organs

157

(6)

Female Reproductive Organs

163

(7)

Urinary and Reproductive Systems Impairment Evaluation Summary

170

(3)

The Skin

173

(18)

Principles of Assessment

174

(1)

Disfigurement

175

(1)

Scars and Skin Grafts

176

(1)

Contact Dermatitis

176

(1)

Natural Rubber Latex Allergy

177

(1)

Skin Cancer

177

(1)

Criteria for Rating Permanent Impairment Due to Skin Disorders

178

(10)

Skin Impairment Evaluation Summary

188

(3)

The Hematopoietic System

191

(20)

Principles of Assessment

192

(1)

Anemia

192

(4)

Polycythemia and Myelofibrosis

196

(1)

White Blood Cell Disease or Abnormalities

197

(6)

Hemorrhagic and Platelet Disorders

203

(3)

Thrombotic Disorders

206

(2)

Hematologic Impairment Evaluation Summary

208

(3)

The Endocrine System

211

(34)

Principles of Assessment

212

(1)

Hypothalamic Pituitary Axis

212

(5)

Thyroid

217

(2)

Parathyroids

219

(3)

Adrenal Cortex

222

(6)

Adrenal Medulla

228

(2)

Pancreas (Islets of Langerhans)

230

(7)

Gonads

237

(2)

Mammary Glands

239

(1)

Metabolic Bone Disease

240

(1)

Endocrine System Impairment Evaluation Summary

241

(4)

Ear, Nose, Throat, and Related Structures

245

(32)

Principles of Assessment

246

(1)

The Ear

246

(9)

The Face

255

(4)

The Nose, Throat, and Related Structures

259

(13)

Ear, Nose, Throat, and Related Structures Impairment Evaluation Summary

272

(5)

The Visual System

277

(28)

Principles of Assessment

278

(3)

Impairment of Visual Acuity

281

(6)

Impairment of the Visual Field

287

(9)

Impairment of the Visual System

296

(4)

Visual Acuity Measurement at Near (Reading Acuity)

300

(5)

The Central and Peripheral Nervous System

305

(52)

Principles of Assessment

305

(3)

Criteria for Rating Impairment Due to Central Nervous System Disorders

308

(1)

Criteria for Rating Cerebral Impairments

309

(18)

Criteria for Rating Impairments of the Cranial Nerves

327

(9)

Criteria for Rating Impairments of Station, Gait, and Movement Disorders

336

(2)

Criteria for Rating Impairments of Upper Extremities Related to Central Impairment

338

(2)

Criteria for Rating Spinal Cord and Related Impairments

340

(3)

Criteria for Rating Impairments Related to Chronic Pain

343

(1)

Criteria for Rating Impairments of the Peripheral Nervous System, Neuromuscular Junction, and Muscular System

344

(8)

Nervous System Impairment Evaluation Summary

352

(5)

Mental and Behavioral Disorders

357

(16)

Principles of Assessment

358

(1)

Psychiatric Diagnosis and Impairment

359

(2)

A Method of Evaluating Psychiatric Impairment

361

(3)

Assessing Impairment Severity

364

(3)

Examples of Impairment Due to Mental and Behavioral Disorders

367

(3)

Format of the Impairment Report

370

(3)

The Spine

373

(60)

Principles of Assessment

374

(5)

Determining the Appropriate Method for Assessment

379

(2)

Diagnosis-Related Estimates Method

381

(3)

DRE: Lumbar Spine

384

(4)

DRE: Thoracic Spine

388

(4)

DRE: Cervical Spine

392

(3)

Rating Corticospinal Tract Damage

395

(3)

Range-of-Motion Method

398

(7)

ROM: Lumbar Spine

405

(6)

ROM: Thoracic Spine

411

(6)

ROM: Cervical Spine

417

(6)

Nerve Root and/or Spinal Cord

423

(4)

Criteria for Converting Whole Person Impairment to Regional Spine Impairment

427

(1)

The Pelvis

427

(2)

Spine Evaluation Summary

429

(4)

The Upper Extremities

433

(90)

Principles of Assessment

434

(7)

Amputations

441

(4)

Sensory Impairment Due to Digital Nerve Lesions

445

(5)

Evaluating Abnormal Motion

450

(30)

Impairment of the Upper Extremities Due to Peripheral Nerve Disorders

480

(17)

Impairment of the Upper Extremities Due to Vascular Disorders

497

(1)

Impairment of the Upper Extremities Due to Other Disorders

498

(9)

Strength Evaluation

507

(4)

Summary of Steps for Evaluating Impairments of the Upper Extremity

511

(1)

Clinical Examples

512

(11)

The Lower Extremities

523

(42)

Principles of Assessment

524

(1)

Methods of Assessment

525

(30)

Lower Extremity Impairment Evaluation Procedure Summary and Examples

555

(10)

Pain

565

(28)

Principles of Assessment

566

(1)

Overview of Pain

566

(3)

Integrating Pain-Related Impairment Into the Conventional Impairment Rating System

569

(12)

Behavioral Confounders

581

(2)

How to Rate Pain-Related Impairment: A Sample Protocol

583

(2)

Psychogenic Pain

585

(1)

Malingering

585

(1)

Conclusion

586

(1)

Case Examples

586

(7)

Appendix Recording Range-of-Motion Measurements

593

(6)

Glossary

599

(5)

Combined Values Chart

604

(3)

Index

607

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Guides to the Evaluation of Permanent Impairment, fifth edition

Summary

Table of Contents

Supplemental Materials