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FIBROMYALGIA 1997

PRACTICE POINTS:

Injury to the Cervical Sympathetic Chain could explain the common occurrence of Fibromyalgia after Cervical Whiplash

The Chronic Pain of Post Traumatic Stress Disorder could be undiagnosed Fibromyalgia

Client’s perception of a physical traumatic cause of Fibromyalgia has a major adverse effect on severity of symptoms and degree of disability

Strained relationships with care-givers may be interfering with the recovery Fibromyalgia claimants

Related Guest Articles:

Fibromyalgia 93

FIBROMYALGIA 1994 - more pieces of the jigsaw
Fibromyalgia 1995-6
Fibromyalgia 1998

Fibromyalgia 1999 - 2000
Fibromyalgia 2001

Related full text articles available to subscribing members.

Fibromyalgia News (Fibromyalgia News)	Volume 1, Issue 1
Fibromyalgia 1993 (Medical Litigation News)	Volume 1, Issue 2
Fibromyalgia 1994 - More Pieces of the Jigsaw (Medical Litigation News)	Volume 1, Issue 8
Fibromyalgia 1995 -6 (Medical Litigation News)	Volume 2, Issue 3
Fibromyalgia 1997 (Medical Litigation News)	Volume 3, Issue 8
Fibromyalgia 1998 (Personal Injury News)	Volume 5, Issue 1
Fibromyalgia 1999- 2000 (Personal Injury News)	Volume 6, Issue 4
Fibromyalgia 2001 (Personal Injury News)	Volume 7, Issue 4

MALINGERING 1997

PRACTICE POINTS:

Demonstrating the distinction between Somatisation and Malingering is a master skill for Personal Injury litigators

The growing list of conditions in which tests can detect malingering includes

1. memory deficits
2. Late Whiplash
3. balance problems
4. Depression

Related full text articles available to subscribing members.

Malingering 1995-6
Malingering 1998
Malingering 1999
Chronic Pain

OBSTETRIC ANAL DAMAGE

PRACTICE POINTS:

Anal sphincter damage following vaginal childbirth is on a continuum from symptomless loss of anal power to disabling fecal incontinence

Negligent causes of severe anal damage include unwarranted hurry in the delivery of a healthy fetus:

1. forceps delivery without adequate evidence of Obstructed Labour
2. precipitous management of Shoulder Dystocia

There may have been clear contravention of Clinical Practice Guidelines in the choice of delivery method

SUICIDE RISK

PRACTICE POINTS:

Assessment of Dangerousness remains an inexact science

Components of adequate suicide risk assessment:

1. history of suicide
2. patient’s statements of intent
3. definiteness of plan
4. available means
5. substance abuse
6. psychopathology
7. hopelessness
8. third party confirmation
9. rationale of treatment plan

GLOSSARY: Click on the appropriate letter