DVBCTBI2	;ALB/RLC TRAUMATIC BRAIN INJURY (TBI) WKS TEXT - 1 ; 12 FEB 2007
	;;2.7;AMIE;**125**;Apr 10, 1995;Build 9
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	;;Narrative:  The potential residuals of traumatic brain injury necessitate
	;;a comprehensive examination to document all disabling effects.  Specialist
	;;examinations, such as eye and audio examinations, mental disorder
	;;examinations, and others, may also be needed in some cases, as indicated
	;;below.  If possible, conduct a thorough review of the service and post-
	;;service medical records prior to the examination.
	;;
	;;A. Review of Medical Records:
	;;
	;;B. Medical History (Subjective Complaints):
	;;
	;;   1. Report date(s) and nature of injury.
	;;   2. State severity rating of traumatic brain injury (TBI) at time of injury.
	;;   3. State whether condition has stabilized.  If not, provide estimate
	;;      of when stability may be expected (typically within 18-24 months of
	;;      initial injury).
	;;
	;;   Inquire specifically about each symptom or area of symptoms below, since
	;;   individuals with TBI may have difficulty organizing and communicating
	;;   their symptoms without prompting.  It is important to document all
	;;   problems, whether subtle or pronounced, so that the veteran can be
	;;   appropriately evaluated for all disabilities due to TBI.
	;;
	;;      For each of the following symptoms that is present, answer specific
	;;      questions asked.
	;;
	;;        a. headaches - frequency, severity, duration, and if they most
	;;           resemble migraine, tension-type, or cluster headaches
	;;        b. dizziness or vertigo - frequency
	;;        c. weakness or paralysis - location
	;;        d. sleep disturbance - type and frequency
	;;        e. fatigue - severity
	;;        f. malaise
	;;        g. mobility - state symptoms
	;;        h. balance - state any problems
	;;        i. if ambulatory, what device, if any, is needed to assist walking?
	;;        j. memory impairment - mild, moderate, severe
	;;        k. Other cognitive problems Y/N?  If yes:
	;;               i. Slowness of thought
	;;              ii. Confusion
	;;             iii. Decreased attention
	;;              iv. Difficulty concentrating
	;;               v. Difficulty understanding directions
	;;              vi. Difficulty using written language or comprehending
	;;                  written words
	;;             vii. Delayed reaction time
	;;            viii. Other - box to describe
	;;
	;;         l. speech or swallowing difficulties - severity and specific type
	;;            of problem - expressive aphasia?, difficulty with articulation
	;;            because of injuries to mouth?, aspiration due to difficulty
	;;            swallowing?, etc.
	;;         m. pain - frequency, severity, duration, location, and likely cause
	;;         n. bowel problems - extent and frequency of any fecal leakage and
	;;            frequency of need for pads, if used; need for assistance in
	;;            evacuating bowel (manual evacuation, suppositories, rectal
	;;            stimulation, etc.) - report type and frequency of need for
	;;            assistance.
	;;         o. bladder problems - report the type of impairment (incontinence,
	;;            urgency, urinary retention, etc.) and the measures needed:
	;;            catheterization - constant or intermittent?, pads (must be
	;;            changed how often per day?), other - describe).
	;;         p. psychiatric symptoms
	;;              mood swings
	;;              anxiety
	;;              depression
	;;              other
	;;         q. sexual dysfunction - type, and, if erectile dysfunction, state
	;;            most likely cause and whether vaginal penetration is possible
	;;         r. sensory changes, such as numbness or paresthesias - location
	;;            and type
	;;         s. visual problems, such as blurred or double vision - describe
	;;         t. hearing problems, tinnitus - describe
	;;         u. decreased sense of taste or smell - if present, follow
	;;            examination protocol for Sense of Smell and Taste
	;;         v. seizures - type and frequency
	;;         w. hypersensitivity to sound or light - describe
	;;         x. behavioral changes
	;;              irritability
	;;              restlessness
	;;              other - describe
	;;         y. oral and dental problems, such as difficulty with jaw movement,
	;;            tooth loss or damage, etc. - describe
	;;         z. other symptoms - describe
	;;
	;;   4. Report course of symptoms - are they improving, worsening in severity
	;;      or frequency, or stable?
	;;   5. List current treatments, condition for which each treatment is being
	;;      given, response to treatment, and side effects.
	;;