Case exercises are an effective way to increase your understanding of the appropriate application of the AMA Guides. The following is one of over seventy cases that are included in the new edition of the Guides Casebook. This case illustrates some of the challenges associated with assessing fibromyalgia by the Fourth, Fifth and Sixth Editions.

Subject: Ms Gregory, a 26-year-old woman

History: Ms Gregory was involved in a motor vehicle accident when the Ford F-150 pickup truck she was driving was stopped at a red light and was struck from behind by a Honda Civic traveling at 5 miles per hour. She was wearing a seat belt and shoulder restraint; the driver's side air bag did not deploy. Ms Gregory did not strike her head or any other part of her body on the steering...

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