| |
| |
| |
| Philosophy, Purpose, and Appropriate Use of the Guides | |
| |
| |
| |
| History | |
| |
| |
| |
| Impairment, Disability, and Handicap | |
| |
| |
| |
| The Organ System and Whole Body Approach to Impairment | |
| |
| |
| |
| Philosophy and Use of the Combined Values Chart | |
| |
| |
| |
| Incorporating Science With Clinical Judgment | |
| |
| |
| |
| Causation, Apportionment Analysis, and Aggravation | |
| |
| |
| |
| Use of the Guides | |
| |
| |
| |
| Impairment Evaluations in Workers' Compensation | |
| |
| |
| |
| Employability Determinations | |
| |
| |
| |
| Railroad and Maritime Workers | |
| |
| |
| |
| The Physician's Role Based on the Americans with Disabilities Act (ADA) | |
| |
| |
| |
| Summary | |
| |
| |
| |
| Practical Application of the Guides | |
| |
| |
| |
| Defining Impairment Evaluations | |
| |
| |
| |
| Who Performs Impairment Evaluations? | |
| |
| |
| |
| Examiners' Roles and Responsibilities | |
| |
| |
| |
| When Are Impairment Ratings Performed? | |
| |
| |
| |
| Rules for Evaluation | |
| |
| |
| |
| Preparing Reports | |
| |
| |
| |
| The Cardiovascular System: Heart and Aorta | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Vavular Heart Disease | |
| |
| |
| |
| Coronary Heart Disease | |
| |
| |
| |
| Congenital Heart Disease | |
| |
| |
| |
| Cardiomyopathies | |
| |
| |
| |
| Pericardial Heart Disease | |
| |
| |
| |
| Arrhythmias | |
| |
| |
| |
| Cardiovascular Impairment Evaluation Summary | |
| |
| |
| |
| The Cardiovascular System: Systemic and Pulmonary Arteries | |
| |
| |
| |
| Hypertensive Cardiovascular Disease | |
| |
| |
| |
| Disease of the Aorta | |
| |
| |
| |
| Vascular Diseases Affecting the Extremities | |
| |
| |
| |
| Diseases of the Pulmonary Arteries | |
| |
| |
| |
| Cardiovascular Impairment Evaluation Summary | |
| |
| |
| |
| The Respiratory System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Symptoms Associated With Respiratory Disease | |
| |
| |
| |
| Tobacco Use and Environment Exposure Associated With Respiratory Disease | |
| |
| |
| |
| Examinations, Clinical Studies, and Other Tests for Evaluating Respiratory Disease | |
| |
| |
| |
| Asthma | |
| |
| |
| |
| Obstructive Sleep Apnea | |
| |
| |
| |
| Hypersensitivity Pneumonitis | |
| |
| |
| |
| Penumoconiosis | |
| |
| |
| |
| Lung Cancer | |
| |
| |
| |
| Permanent Impairment Due to Respiratory Disorders | |
| |
| |
| |
| Respiratory Impairment Evaluation Summary | |
| |
| |
| |
| The Digestive System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Upper Digestive Tract | |
| |
| |
| |
| Colon, Rectum, and Anus | |
| |
| |
| |
| Enterocutaneous Fistulas | |
| |
| |
| |
| Liver and Biliary Tract | |
| |
| |
| |
| Hernias | |
| |
| |
| |
| Digestive System Impairment Evaluation Summary | |
| |
| |
| |
| The Urinary and Reproductive Systems | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| The Urinary System | |
| |
| |
| |
| Upper Urinary Tract | |
| |
| |
| |
| Urinary Diversion | |
| |
| |
| |
| Bladder | |
| |
| |
| |
| Urethra | |
| |
| |
| |
| Male Reproductive Organs | |
| |
| |
| |
| Female Reproductive Organs | |
| |
| |
| |
| Urinary and Reproductive Systems Impairment Evaluation Summary | |
| |
| |
| |
| The Skin | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Disfigurement | |
| |
| |
| |
| Scars and Skin Grafts | |
| |
| |
| |
| Contact Dermatitis | |
| |
| |
| |
| Natural Rubber Latex Allergy | |
| |
| |
| |
| Skin Cancer | |
| |
| |
| |
| Criteria for Rating Permanent Impairment Due to Skin Disorders | |
| |
| |
| |
| Skin Impairment Evaluation Summary | |
| |
| |
| |
| The Hematopoietic System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Anemia | |
| |
| |
| |
| Polycythemia and Myelofibrosis | |
| |
| |
| |
| White Blood Cell Disease or Abnormalities | |
| |
| |
| |
| Hemorrhagic and Platelet Disorders | |
| |
| |
| |
| Thrombotic Disorders | |
| |
| |
| |
| Hematologic Impairment Evaluation Summary | |
| |
| |
| |
| The Endocrine System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Hypothalamic. Pituitary Axis | |
| |
| |
| |
| Thyroid | |
| |
| |
| |
| Parathyroids | |
| |
| |
| |
| Adrenal Cortex | |
| |
| |
| |
| Adrenal Medulla | |
| |
| |
| |
| Pancreas (Islets of Langerhans) | |
| |
| |
| |
| Gonads | |
| |
| |
| |
| Mammary Glands | |
| |
| |
| |
| Metabolic Bone Disease | |
| |
| |
| |
| Endocrine System Impairment Evaluation Summary | |
| |
| |
| |
| Ear, Nose, Throat, and Related Structures | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| The Ear | |
| |
| |
| |
| The Face | |
| |
| |
| |
| The Nose, Throat, and Related Structures | |
| |
| |
| |
| Ear, Nose, Throat, and Related Structures Impairment Evaluation Summary | |
| |
| |
| |
| The Visual System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Impairment of Visual Acuity | |
| |
| |
| |
| Impairment of the Visual Field | |
| |
| |
| |
| Impairment of the Visual System | |
| |
| |
| |
| Visual Acuity Measurement at Near (Reading Acuity) | |
| |
| |
| |
| The Central and Peripheral Nervous System | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Criteria for Rating Impairment Due to Central Nervous System Disorders | |
| |
| |
| |
| Criteria for Rating Cerebral Impairments | |
| |
| |
| |
| Criteria for Rating Impairments of the Cranial Nerves | |
| |
| |
| |
| Criteria for Rating Impairments of Station, Gait, and Movement Disorders | |
| |
| |
| |
| Criteria for Rating Impairments of Upper Extremities Related to Central Impairment | |
| |
| |
| |
| Criteria for Rating Spinal Cord and Related Impairments | |
| |
| |
| |
| Criteria for Rating Impairments Related to Chronic Pain | |
| |
| |
| |
| Criteria for Rating Impairments of the Peripheral Nervous System, Neuromuscular Junction, and Muscular System | |
| |
| |
| |
| Nervous System Impairment Evaluation Summary | |
| |
| |
| |
| Mental and Behavioral Disorders | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Psychiatric Diagnosis and Impairment | |
| |
| |
| |
| A Method of Evaluating Psychiatric Impairment | |
| |
| |
| |
| Assessing Impairment Severity | |
| |
| |
| |
| Examples of Impairment Due to Mental and Behavioral Disorders | |
| |
| |
| |
| Format of the Impairment Report | |
| |
| |
| |
| The Spine | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Determining the Appropriate Method for Assessment | |
| |
| |
| |
| Diagnosis-Related Estimates Method | |
| |
| |
| |
| DRE: Lumbar Spine | |
| |
| |
| |
| DRE: Thoracic Spine | |
| |
| |
| |
| DRE: Cervical Spine | |
| |
| |
| |
| Rating Corticospinal Tract Damage | |
| |
| |
| |
| Range-of-Motion Method | |
| |
| |
| |
| ROM: Lumbar Spine | |
| |
| |
| |
| ROM: Thoracic Spine | |
| |
| |
| |
| ROM: Cervical Spine | |
| |
| |
| |
| Nerve Root and/or Spinal Cord | |
| |
| |
| |
| Criteria for Converting Whole Person Impairment to Regional Spine Impairment | |
| |
| |
| |
| The Pelvis | |
| |
| |
| |
| Spine Evaluation Summary | |
| |
| |
| |
| The Upper Extremities | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Amputations | |
| |
| |
| |
| Sensory Impairment Due to Digital Nerve Lesions | |
| |
| |
| |
| Evaluating Abnormal Motion | |
| |
| |
| |
| Impairment of the Upper Extremities Due to Peripheral Nerve Disorders | |
| |
| |
| |
| Impairment of the Upper Extremities Due to Vascular Disorders | |
| |
| |
| |
| Impairment of the Upper Extremities Due to Other Disorders | |
| |
| |
| |
| Strength Evaluation | |
| |
| |
| |
| Summary of Steps for Evaluating Impairments of the Upper Extremity | |
| |
| |
| |
| Clinical Examples | |
| |
| |
| |
| The Lower Extremities | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Methods of Assessment | |
| |
| |
| |
| Lower Extremity Impairment Evaluation Procedure Summary and Examples | |
| |
| |
| |
| Pain | |
| |
| |
| |
| Principles of Assessment | |
| |
| |
| |
| Overview of Pain | |
| |
| |
| |
| Integrating Pain-Related Impairment Into the Conventional Impairment Rating System | |
| |
| |
| |
| Behavioral Confounders | |
| |
| |
| |
| How to Rate Pain-Related Impairment: A Sample Protocol | |
| |
| |
| |
| Psychogenic Pain | |
| |
| |
| |
| Malingering | |
| |
| |
| |
| Conclusion | |
| |
| |
| |
| Case Examples | |
| |
| |
| |
| Recording Range-of-Motion Measurements | |
| |
| |
| Glossary | |
| |
| |
| Combined Values Chart | |
| |
| |
| Index | |