Analysis of Brain Injury Claims

1) Introduction and Overview
2) Epidemiology
a) Defined
b) TBI Commonality
c) Comparison with other health Concerns
d) Demographics
e) Frequent Causes
3) TBI Case Example
a) Mechanisms of Mechanical Injury
i) Blunt forces
ii) Coup-contra coup
iii) Diffuse axonal injury
b) Premorbid Issues
4) Causes of Brain Damage
a) Mechanical Injury
b) Toxic Exposure
i) Inhalation
ii) Absorption
iii) ingestion
c) Hypoxia or anoxia
5) Recap
6) Quiz – Reinforcing Part 1 Materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

1) Key terms for TBI
a) Dementia due to _________
b) Closed head Injury (CHI)
c) Concussion
d) Post Concussion Syndrome (PCS)
e) Postconcussional Disorder (PCD)
2) Diagnostic and Statistical Manual (DSM IV)
3) Dementia due to _______________
a) Mental Impairment
b) Cognitive Impairment
i) Aphasia
(1) Receptive
(2) Expressive
ii) Apraxia
iii) Agnosia
iv) Impaired cognitive function
c) Decline from Previous Level of functioning
d) Impaired occupational or social functioning
4) Causes of Dementia other than TBI
a) Nutrition
b) Electrolytes
c) Vascular & circulatory
d) Obstructive sleep apnea
5) Closed Head Injury (CHI)
a) Defined
b) Example
c) Distinguished from TBI
6) Diagnostic Standards for Mild TBI
a) Loss of consciousness
b) Length of time unconscious
c) Textbook definition of TBI
d) ACRM Assessment Criteria
7) Quiz – Reinforcing Part 2 materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

1) Post Concussion Syndrome
a) Defined
b) Application
c) Post Concussion Disorder
d) Correlation Issues
2) Concussion
a) Defined
b) Signs
3) Amnesia
a) anterograde
b) retrograde
4) Factitious Disorder
a) explained
b) Examples
5) Discovery
a) Importance to Brain Injury Evaluation
b) Pre-Morbid Medical Records
c) School Records
i) Standardized Tests
ii) Social Record
iii) Education Record
iv) Health Record
d) Divorce Proceedings
e) Credit History
6) Quiz – Reinforcing Part 3 materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

1) Symptoms Latency
a) No delay
b) Recovery curves
i) Normal
(1) Pre-morbid baseline
(2) Immediate point following injury
(3) Logarithmic recovery
(4) Maximum medical recovery
ii) abnormal
c) motivation for recovery
d) typical Period of recovery
e) frequency of neuropsych testing
f) illustration
2) Glasgow Coma Scores
a) Glasgow Coma Scale
i) Eye Opening
ii) Best Motor Response
iii) Verbal Response
b) Calculations
c) Examples
d) Use in Medical Studies
3) Quiz – Reinforcing Part 4 materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

1) Meninges
a) Pia Mater
b) Arachnoid
c) Dura Mater
2) Hemorrhage Types
a) Epidural
b) Subdural
c) Subarachnoid
3) Structural Imaging
a) Computerized Tomography (CT scans)
b) Magnetic Resonance Imaging (MRI scans)
c) Illustrations/Examples
d) Defenses
4) Functional Imaging
a) SPECT
b) PET
c) Illustrations/Examples
d) Defenses
5) Quiz – Reinforcing Part 5 materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

1) Electrophysiological Techniques
a) Explained
b) Defenses
c) Quantitative EEG
2) Seizures
a) Types and causes
b) Defense TIPS
3) Neuropsychological Assessment Issues
a) Examiner Issues
i) Licensing
ii) specialty
b) Baseline Errors
i) School records
ii) Standardized test results
iii) Job description
c) Confounding variables
d) Testing Errors
i) Medications
ii) Alcohol Use
iii) Language/Reading
e) Differential Diagnosis Errors
4) Activities of Daily Living
5) Symptom Prevalence
6) Indicators of Brain Injury
7) Quiz – Reinforcing Part 6materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz