We evaluate all other cancers associated with HIV infection, for example, Hodgkin lymphoma or non-pulmonary Kaposi sarcoma, under this body system or under 14.11F-I in the immune system disorders body system. Completing tasks in a timely manner involves the ability to sustain concentration, persistence, or pace to permit timely completion of tasks commonly found in work settings. Each hospitalization must last at least 48 hours, including hours in a hospital emergency department immediately before the hospitalization. 1. HIV-associated dementia (HAD). Under 100.05B, we document the severity of developmental delay with results from a standardized developmental assessment, which compares a child's level of development to the level typically expected for his or her chronological age. You must have the required number of complications with the frequency and duration required in this section. You may also have limitations because of your treatment and its side effects (see 114.00G). If you do not receive treatment, you cannot show an impairment that meets the criteria of most of these listings. 3. As described in 114.00D4. Malignant solid tumors. We will not use findings on imaging or other diagnostic tests (see 101.00C3) as a substitute for findings on physical examination. Supportive situations. (See 416.926.) Significant deficits in adaptive functioning currently manifested by your dependence upon others for personal needs (for example, toileting, eating, dressing, or bathing) in excess of age-appropriate dependence. 1. 10. In evaluating the loss of speech, the ability to produce speech by any means includes the use of mechanical or electronic devices that improve voice or articulation. What is multiple sclerosis, and how do we evaluate it under 111.21? General. We must consider the frequency of, and the reason(s) for, the shocks when evaluating the severity and duration of your impairment. Acute complications of hyperglycemia include diabetic ketoacidosis. Webpsychosocial support, specialised healthcare, warm clothes, nutrition and water, sanitation and hygiene services through UNICEF mother-and-baby spaces. General. Oliguria with 24-hour urine output less than 1 mL/kg/hr; or. Persistent inflammation or persistent deformity of: 1. We evaluate the involvement of other organs/body systems under the criteria for the listings in the affected body system. In most cases, when you are at least 6 months old, any developmental delay you may have can be better assessed, and you can undergo standardized developmental testing, if indicated. What are neurodegenerative disorders of the central nervous system, such as Huntington's disease, Friedreich's ataxia, and spinocerebellar degeneration, and how do we evaluate them under 11.17? We also accept a positive brain biopsy for JC virus or other generally acceptable methods consistent with the prevailing state of medical knowledge and clinical practice to establish the diagnosis. We evaluate your bronchiectasis under 3.02, or under 3.07 if you are having exacerbations or complications (for example, acute bacterial infections, increased shortness of breath, or coughing up blood) that require hospitalization. Documentation of polymyositis and dermatomyositis. Chronic hepatitis B virus (HBV) infection. How do we consider adherence to prescribed treatment in neurological disorders? a. When the maximum stimulus luminance (0 dB stimulus) on an acceptable perimeter is 10,000 asb, a 10 dB stimulus is equivalent to a 4e stimulus. How do we assess the severity of your skin disorders(s)? What impairments do these listings cover? If you have an absent response to VER testing in your better eye, we will determine that your best-corrected central visual acuity is 20/200 or less in that eye and that your visual acuity loss satisfies the criterion in 2.02 when these test results are consistent with the other evidence in your case record. c. Under 100.05C, when there are no results from a standardized developmental assessment in the case record, we need narrative developmental reports from the child's medical sources in sufficient detail to assess the severity of his or her developmental delay. Recurrent means that a condition that previously responded adequately to an appropriate course of treatment returns after a period of remission or regression. 5. The laboratory values for the second SSA CLD score calculation must have been obtained at least 60 days after the latest laboratory value for the first SSA CLD score and within the required 6-month period. Surgery followed by chemotherapy or radiation. 11.04 Vascular insult to the brain, characterized by A, B, or C: A. Sensory or motor aphasia resulting in ineffective speech or communication (see 11.00E1) persisting for at least 3 consecutive months after the insult; or, B. Disorganization of motor function in two extremities (see 11.00D1), resulting in an extreme limitation (see 11.00D2) in the ability to stand up from a seated position, balance while standing or walking, or use the upper extremities, persisting for at least 3 consecutive months after the insult; or. We will consider whether your statements and the statements from third parties are consistent with the medical and other evidence we have. 1. Although an arrhythmia may be a coincidental finding on an ETT, we will not purchase an ETT to document the presence of a cardiac arrhythmia. The findings required by these listings must occur within the period we are considering in connection with your application or continuing disability review. We must consider any complications of therapy. This criterion refers to the developmental ability to stabilize biological rhythms (for example, by developing an age-appropriate sleep/wake cycle); control physiological functions (for example, by achieving regular patterns of feeding); and attend, react, and adapt to environmental stimuli, persons, objects, and events (for example, by becoming alert to things happening around you and in relation to you, and responding without overreacting or underreacting). 2. We use the rules in 416.994a of this chapter when we decide whether you continue to be disabled. Examples of this evidence include: a statement from the test administrator indicating that your obtained score is not an accurate reflection of your general intellectual functioning, prior or internally inconsistent IQ scores, or information about your daily functioning. Medical consultant is an individual defined in 404.1616(a) and 416.1016(a). 3. We will base our conclusions about your adaptive functioning on evidence from a variety of sources (see 112.00H3b) and not on your statements alone. 2. To determine whether your visual field loss meets listing 102.03B, we use the mean deviation or defect (MD) from acceptable automated static threshold perimetry that measures the central 30 degrees of the visual field. How will we evaluate symptomatic congenital heart disease? How long do we consider your impairment to be disabling? a. The inability to use the remaining upper extremity to independently initiate, sustain, and complete age-appropriate activities involving fine and gross movements (101.00E4). These disorders disrupt the normal development and function of white blood cells, red blood cells, platelets, and clotting-factor proteins (factors). When the initial anticancer therapy is effective. Adjuvant therapy is anticancer therapy, such as chemotherapy or radiation, given after surgery in order to eliminate any remaining cancer cells or lessen the chance of recurrence. We evaluate cognitive impairments that result from neurological disorders under 112.02 if they do not satisfy the requirements in 111.00. The term marked does not imply that you must be confined to bed, hospitalized, or in a nursing home. 107.17 Hematological disorders treated by bone marrow or stem cell transplantation (see 107.00F). According to Erikson, at which stage in the baby's development is Fernando currently fostering healthy childhood growth with this parenting style? If you have a chronic illness or physical abnormality(ies), we will evaluate it under the affected body system, for example, the cardiovascular or musculoskeletal system. In the first few months of life, full-term infants typically display some irregularities in observable behaviors (for example, sleep cycles, feeding, responding to stimuli, attending to faces, self-calming), making it difficult to assess the presence, extent, and duration of a developmental disorder. b. 2. B. Nonradicular neurological signs present during physical examination (see 1.00C2) or on a diagnostic test (see 1.00C3) and evidenced by 1 and either 2 or 3: c. Areflexia, trophic ulceration, or bladder or bowel incontinence. We will purchase an ETT in a childhood claim only if we cannot make a determination or decision based on the evidence we have and an MC, preferably one with experience in the care of children with cardiovascular impairments, has determined that an ETT is needed to evaluate your impairment. SpO2 means percentage of oxygen saturation of blood hemoglobin measured by pulse oximetry. (See 13.00K4b.) Under 111.09, we must have recent comprehensive evaluation including all areas of affective and effective communication, performed by a qualified professional, to document a communication impairment associated with a neurological disorder. Renal osteodystrophy (see 6.00C3) with severe bone pain and imaging studies documenting bone abnormalities, such as osteitis fibrosa, osteomalacia, or pathologic fractures; or, 2. Appropriate means that the technique used is the proper one to support the evaluation and diagnosis of the impairment. We will evaluate persistence of rheumatic fever activity under 104.13. If the evidence in your case contains visual field measurements obtained using manual or automated kinetic perimetry, such as Goldmann perimetry or the HFA SSA Test Kinetic, we can generally use these results if the kinetic test was performed using a white III4e stimulus projected on a white 31.5 asb (10 cd/m What effect does obesity have on the cardiovascular system and how will we evaluate it? Late in the disease, some children with dermatomyositis develop calcinosis of the skin and subcutaneous tissues, muscles, and joints. D. Dyscognitive seizures (see 11.00H1b), occurring at least once every 2 weeks for at least 3 consecutive months (see 11.00H4) despite adherence to prescribed treatment (see 11.00C); and a marked limitation in one of the following: 5. Severe hypoglycemia can lead to complications, including seizures or loss of consciousness, which we evaluate under 111.00, or altered mental status, cognitive deficits, and permanent brain damage, which we evaluate under 112.00. Gross movements involve use of your shoulders, upper arms, forearms, and hands; such movements include handling, gripping, grasping, holding, turning, and reaching. c. This category does not include the mental disorders that we evaluate under intellectual disorder (12.05), autism spectrum disorder (12.10), and neurodevelopmental disorders (12.11). Musculoskeletal disorders may be congenital or acquired, and may include deformities, amputations, or other abnormalities. Also, you need not be totally precluded from performing an activity to have a marked limitation, as long as the degree of limitation seriously interferes with your ability to function independently, appropriately, and effectively. These examples illustrate the nature of this area of mental functioning. How do we use listing 4.12 if you have had a peripheral graft? The most common motor neuron disorders in children are progressive bulbar palsy and spinal muscular dystrophy syndromes. We exclude biochemical recurrence in 13.24A, which is defined as an increase in the serum prostate-specific antigen (PSA) level following the completion of the hormonal intervention therapy. E. How do we use the functional criteria to evaluate your musculoskeletal disorder under these listings? For example, this statement may include information about your cooperation or effort in doing the test and whether you were limited in completing the test because of your respiratory disorder or another impairment. To evaluate growth failure due to CHF, we require documentation of the clinical findings of CHF described in 104.00C2 and the growth measurements in 104.02C within the same consecutive 12-month period. 31/07/14 2: ^, 62 The Compromise of bilateral nerve roots of the cervical spine. We consider musculoskeletal disorders that produce anatomical abnormalities of major joints of the extremities, which result in functional abnormalities in the upper or lower extremities (for example, chronic infections of bones and joints, and surgical arthrodesis of a joint). Complete loss of function, as described in 111.00J2, persisting for 3 consecutive months after the disorder (see 111.00J4); or. 112.07 Somatic symptom and related disorders (see 112.00B6), for children age 3 to attainment of age 18, satisfied by A and B: A. 1. Adaptive functioning refers to how you learn and use conceptual, social, and practical skills in dealing with common life demands. Musculoskeletal disorders may cause pain or other symptoms; however, your statements about your pain or other symptoms will not alone establish that you are disabled. Your symptoms, including pain, severe fatigue, and malaise, may be important factors in our determination whether your hematological disorder(s) meets or medically equals a listing, or in our determination whether you are otherwise able to work. C. Generalized tonic-clonic seizures (see 11.00H1a), occurring at least once every 2 months for at least 4 consecutive months (see 11.00H4) despite adherence to prescribed treatment (see 11.00C); and a marked limitation in one of the following: 1. However, an exercise test that is older than 12 months, especially an abnormal one, can still provide information important to our adjudication. Growth failure due to HIV immune suppression (114.11I). Thereafter, evaluate under 113.05A2, or any residual impairments(s) under the criteria for the affected body system. It does not refer to the date on which your disability began, only to the date on which we must reevaluate whether your asthma continues to meet a listing or is otherwise disabling. (See 416.926.) We will evaluate lymphedema by considering whether the underlying cause meets or medically equals any listing or whether the lymphedema medically equals a cardiovascular listing, such as 4.11, or a musculoskeletal disorders listing, such as 101.18. b. Under 111.09A, we need documentation from a qualified professional that your neurological disorder has resulted in a speech deficit that significantly affects your ability to communicate. If you have a severe medically determinable impairment(s) that does not meet a listing, we will determine whether your impairment(s) medically equals a listing. Other tests use agents, such as dobutamine, that stimulate the heart to contract more forcefully and faster to simulate exercise and are used in combination with a 2-dimensional echocardiogram. 4.12 Peripheral arterial disease, as determined by appropriate medically acceptable imaging (see 4.00A3d, 4.00G2, 4.00G5, and 4.00G6), causing intermittent claudication (see 4.00G1) and one of the following: A. (The perfusion imaging is done at the termination of exercise, which may be at a higher MET level than that at which ischemia first occurs. Act now. Your daily functioning may depend on the special contexts in which you function. We explain how we calculate the SSA CLD score in b. through g. of this section. For example, you may be able to take care of your personal needs, cook, shop, pay your bills, live by yourself, and drive a car. Symptoms of altered voluntary motor or sensory function that are not better explained by another medical or mental disorder; or. If your impairment(s) does not meet or medically equal a listing, we will consider whether it functionally equals the listings. For example, if your CF has resulted in chronic pancreatic or hepatobiliary disease, we evaluate your impairment under the listings in 5.00. An orthosis is a wearable device, such as a brace, that prevents or corrects a dysfunction or deformity by aligning or supporting the affected body part. Therefore, if you have frequent flareups, we may find that your impairment(s) is medically equal to one of these listings even though you have some periods during which your condition is in remission. A. We evaluate non-healing or complex traumatic fractures without accompanying pathology under 101.22 or 101.23. Exercise intolerance with increased hypoxemia on exertion. Symptoms and signs may include, but are not limited to, disturbances in memory, executive functioning (that is, higher-level cognitive processes; for example, regulating attention, planning, inhibiting responses, decision-making), visual-spatial functioning, language and speech, perception, insight, and judgment. 3. In this test, you walk on a treadmill, usually for a specified period of time, and the individual who administers the test measures the effect of exercise on the flow of blood in your legs, usually by using ultrasound. d. For our rules on purchasing imaging and other diagnostic tests, see 416.919k and 416.919m of this chapter. We require characteristic findings on microscopic examination of the cerebral spinal fluid or of the biopsied brain tissue, or other generally acceptable methods consistent with the prevailing state of medical knowledge and clinical practice to establish the diagnosis. 2. These examples illustrate the nature of this area of mental functioning. Schizophrenia spectrum and other psychotic disorders (112.03). When the medical source reports that a clinical test sign(s) is positive, unless we have evidence to the contrary, we will assume that he or she performed the test properly and accept the medical source's interpretation of the test. Now living in an evacuation shelter, they are receiving Chronic liver disease is characterized by liver cell necrosis, inflammation, or scarring (fibrosis or cirrhosis), due to any cause, that persists for more than 6 months. An orthosis is a wearable device, such as a brace, that prevents or corrects a dysfunction or deformity by aligning or supporting the affected body part. 2. Although Down syndrome exists in non-mosaic and mosaic forms, we evaluate only non-mosaic Down syndrome under this body system. Estimated glomerular filtration rate (eGFR). c. In general, the exercise limitations imposed on children with an implanted cardiac defibrillator are those dictated by the underlying heart impairment. Complications of HIV infection requiring hospitalization (14.11H). (We evaluate neurological disorders under that body system (see 11.00). 106.03 Chronic kidney disease, with chronic hemodialysis or peritoneal dialysis (see 106.00C1). b. If we do purchase an ETT for a child age 12 or younger, it must be performed by a qualified medical source in a specialty center for pediatric cardiology or other facility qualified to perform exercise tests of children. We will consider your other impairments or signs and symptoms that develop secondary to the disorder, such as post-impairment syndrome (a combination of pain, fatigue, and weakness due to muscle abnormalities); overuse syndromes (repetitive motion injuries); arthritis; abnormalities of proprioception (perception of the movements and position of the body); abnormalities of stereognosis (perception and identification of objects by touch); learning problems; anxiety; and depression. Anorexia (diminished appetite) with weight loss. What evidence do we need to document non-mosaic Down syndrome under 110.06? Definitions of the 112.14 paragraph B developmental abilities. We do not require documentation of all of the examples. We evaluate parathyroid-related osteoporosis and fractures under 101.00; abnormally elevated calcium levels in the blood (hypercalcemia) that lead to cataracts under 102.00; kidney failure under 106.00; and recurrent abnormally low blood calcium levels (hypocalcemia) that lead to increased excitability of nerves and muscles, such as tetany and muscle spasms, under 111.00. Otherwise, we will evaluate your impairment under 4.06. Consider under a disability from at least the date of the first score. 4. We will not assume that your ability to do some common everyday activities, or to do some things without help or support, demonstrates that your mental disorder does not meet the requirements of 12.05B2. D. How do we evaluate mosaic Down syndrome and other congenital disorders that affect multiple body systems? B. 2. People who have XP have a lifelong hypersensitivity to all forms of ultraviolet light and generally lead extremely restricted lives in highly protective environments in order to prevent skin cancers from developing. Dopamine is a neurotransmitter that regulates muscle movement throughout the body. See 4.00C15a. Thus, the combined effects of obesity with cardiovascular impairments can be greater than the effects of each of the impairments considered separately. b. Paragraph B of each listing (except 112.05) provides the functional criteria we assess to evaluate how your mental disorder limits your functioning. Linear scleroderma of a lower extremity involving skin thickening and atrophy of underlying muscle or bone can result in contractures and leg length discrepancy. B. A laboratory report of a definitive test that establishes a hematological disorder that is not signed by a physician and a report from a physician that states you have the disorder; or. We will not consider normal test results to be consistent with the other evidence if the clinical findings indicate that your visual disorder has progressed to the point that it is likely to cause visual field loss, or you have a history of an operative procedure for retinal detachment. We consider musculoskeletal disorders such as skeletal dysplasias, caudal regression syndrome, tethered spinal cord syndrome, vertebral slippage (spondylolisthesis), scoliosis, and vertebral fracture or dislocation. 7. For example, if a female child is 4.0 years old, has a current weight of 13.5 kg (10th percentile for age) and height of 92 cm (less than the third percentile for age), and has laboratory values of serum total bilirubin 2.2 mg/dL, INR 1.0, and serum albumin 3.5 g/dL, we will compute the SSA CLD-P score as follows: (iv) For any SSA CLD-P score calculation, all of the required laboratory values (serum total bilirubin, INR, or serum albumin) must have been obtained within 30 days of each other. (ii) Your breath-hold time must be between 8 and 12 seconds. Some wheeled and seated mobility devices involve the use of one hand to use the assistive device (for example, most motorized wheelchairs). 2. c. Laboratory findings may include, but are not limited to, increased liver enzymes, increased serum total bilirubin, increased ammonia levels, decreased serum albumin, and abnormal coagulation studies, such as increased International Normalized Ratio (INR) or decreased platelet counts. Chronic myelogenous leukemia (CML). We evaluate the leg pain associated with peripheral vascular claudication and foot ulceration associated with peripheral arterial disease under the listings in 4.00. (ii) There are several clinical patterns, including but not limited to polyarteritis nodosa, Takayasu's arteritis (aortic arch arteritis), giant cell arteritis (temporal arteritis), and Wegener's granulomatosis. Involvement of two or more organs/body systems, with: 1. An original or legible copy of the 12-lead ECG obtained at rest must be appropriately dated and labeled, with the standardization inscribed on the tracing. If your impairment does not meet any of the criteria of 5.06, we will consider the effects of your extraintestinal manifestations in determining whether you have an impairment(s) that meets or medically equals another listing, and we will also consider the effects of your extraintestinal manifestations when we assess your residual functional capacity. We discuss the various manifestations of ischemia in 4.00E3-4.00E7. This Friday, were taking a look at Microsoft and Sonys increasingly bitter feud over Call of Duty and whether U.K. regulators are leaning toward torpedoing the Activision Blizzard deal. 4. What do we consider when we evaluate abnormality of a major joint(s) in any extremity (1.18)? We require characteristic findings on microscopic examination of the biopsied lymph nodes or other generally acceptable methods consistent with the prevailing state of medical knowledge and clinical practice to establish the diagnosis. 107.05D refers to the most serious type of beta thalassemia major in which the bone marrow cannot produce sufficient numbers of normal RBCs to maintain life. We will make every reasonable effort to obtain the results of your laboratory and imaging evidence. In order for us to consider your symptoms, you must have medical signs or laboratory findings showing the existence of a medically determinable impairment(s) that could reasonably be expected to produce the symptoms. Act now. (ii) We may also document manifestations of HIV infection without the definitive laboratory evidence described in 114.00F2a, provided that such documentation is consistent with the prevailing state of medical knowledge and clinical practice and is consistent with the other evidence in your case record. These measurements (absolute CD4 count or CD4 percentage) must occur within the period we are considering in connection with your application or continuing disability review. This criterion refers to the developmental ability to learn by exploring the environment, engaging in trial-and-error experimentation, putting things in groups, understanding that words represent things, and participating in pretend play. (ii) Interacting with others. We require imaging (see 3.00D3) to document this disorder. These vessels are usually major arteries or one of a major artery's major branches. Digestive disorders frequently respond to medical or surgical treatment; therefore, we generally consider the severity and duration of these disorders within the context of the prescribed treatment. (We evaluate neurological disorders under that body system (see 111.00). Surgical diversion of the intestinal tract, including ileostomy and colostomy, does not preclude any gainful activity if you are able to maintain adequate nutrition and function of the stoma. If you have non-mosaic Down syndrome documented as described in 10.00C, we consider you disabled from birth. We will determine whether you are able to use each of the paragraph B areas of mental functioning in age-appropriate activities in a manner comparable to that of other children your age who do not have impairments. Evidence from your medical sources may include: b. B. Carcinoma with metastases to the supraclavicular or infraclavicular nodes, to 10 or more axillary nodes, or with distant metastases. What studies will we not purchase? The III refers to the standard Goldmann test stimulus size III (4 mm If the child attains age 3 during the evaluation period, the measurements can be used to evaluate the impairment in the affected body system. Table 1 - Grading System of Muscle Function. Age and typical development in early childhood. Certain situations, such as chronic homelessness, may make it difficult for you to provide longitudinal medical evidence. Alternatively, you may have a combination of limitations due to your neurological disorder that together rise to a marked limitation in physical functioning. f. The interactive and cumulative effects of your treatments. When determining whether you have limitations of physical and mental functioning, we will consider your other impairments or signs and symptoms that develop secondary to the disorder, such as fatigue; visual loss; trouble sleeping; impaired attention, concentration, memory, or judgment; mood swings; and depression. If you have a severe mental disorder, you will probably have evidence of its effects on your functioning over time, even if you have not had an ongoing relationship with the medical community or are not currently receiving treatment. B. Developmental delay (see 100.00C1 and C3), established by an acceptable medical source and documented by findings from one current report of a standardized developmental assessment (see 100.00C3b) that: 1. 2. What is an ABG test, and what are our requirements for an acceptable test and report? Constitutional symptoms or signs, as used in these listings, means severe fatigue, fever, malaise, or involuntary weight loss. a. Full-term infants. N. What is multiple sclerosis, and how do we evaluate it under 11.09? A. Depressive disorder, characterized by five or more of the following: b. How do we evaluate your musculoskeletal disorder if there is evidence establishing a substance use disorder? b. CHF is considered in these listings as a single category whether due to atherosclerosis (narrowing of the arteries), cardiomyopathy, hypertension, or rheumatic, congenital, or other heart disease. b. When these disorders result in solely cognitive and other mental function effects, we will evaluate the disorder under the mental disorder listings. Examples of complications that may result in hospitalization include uncontrolled bleeding, anemia, and systemic bacterial, viral, or fungal infections. How we consider common everyday activities. We consider the dissection not controlled when you have persistence of chest pain due to progression of the dissection, an increase in the size of the aneurysm, or compression of one or more branches of the aorta supplying the heart, kidneys, brain, or other organs. Gastrointestinal hemorrhage (5.02 and 5.05A). 4. We must consider any additional and cumulative effects of obesity when we determine whether you have a severe cardiovascular impairment or a listing-level cardiovascular impairment (or a combination of impairments that medically equals a listing), and when we determine whether your impairment(s) functionally equals the listings. Polymyositis and dermatomyositis (14.05). Some catastrophic congenital disorders, such as anencephaly, cyclopia, chromosome 13 trisomy (Patau syndrome or trisomy D), and chromosome 18 trisomy (Edwards' syndrome or trisomy E), are usually expected to result in early death. D. Loss of speech. The transfusions must be at least 30 days apart within the 6-month period. Most people with non-mosaic Down syndrome have three copies of chromosome 21 in all of their cells (chromosome 21 trisomy); some have an extra copy of chromosome 21 attached to a different chromosome in all of their cells (chromosome 21 translocation). Immune system disorders may result in recurrent and unusual infections, or inflammation and dysfunction of the body's own tissues. We also need evidence from both medical and nonmedical sources, who can describe how you function, to assess the severity and duration of your musculoskeletal disorder. 2. This therapy may consist of a single modality or a combination of modalities; that is, multimodal therapy (see 113.00I3). Implanted cardiac defibrillators may deliver inappropriate shocks, often repeatedly, in response to benign arrhythmias or electrical malfunction. a. (See 416.924(c) of this chapter.) General. B. Autologous transplantation. An ECG may be done while you are resting or exercising. L. How do we evaluate cancer treated by bone marrow or stem cell transplantation, including transplantation using stem cells from umbilical cord blood? Obesity may affect the cardiovascular system because of the increased workload the additional body mass places on the heart. f. The type, dosage, and beneficial effects of medications you take. For example, we will evaluate hemophilic joint deformity or bone or joint pain from myelofibrosis under 1.00; polycythemia vera under 3.00, 4.00, or 11.00; chronic iron overload resulting from repeated RBC transfusion (transfusion hemosiderosis) under 3.00, 4.00, or 5.00; and the effects of intracranial bleeding or stroke under 11.00 or 12.00. Involuntary, time-consuming preoccupation with intrusive, unwanted thoughts; or; b. 5. (See 113.00K4.) (iv) Other findings on appropriate medically acceptable imaging may include increased pulmonary vascular markings, pleural effusion, and pulmonary edema. Children from birth to the attainment of age 6 months. 1. Evidence from school, vocational training, work, and work-related programs. b. Your heart's mitral valve may leak, causing a heart murmur. The bulbar region of the brain is responsible for controlling the bulbar muscles in the throat, tongue, jaw, and face. These procedures and treatments must be directed toward saving, reconstructing, or replacing the affected part of the body to re-establish or improve its function, and not for cosmetic appearances alone. Surgeons may treat craniofacial injuries with multiple surgical procedures. Infants and young children may have anatomical, neurological, or developmental disorders that interfere with their ability to feed by mouth, resulting in inadequate caloric intake to meet their growth needs. We may also find you seriously limited in an area if, while you retain some ability to perform the function, you are unable to do so consistently and on a sustained basis. L. What are neurodegenerative disorders of the central nervous system, such as Juvenile-onset Huntington's disease and Friedreich's ataxia, and how do we evaluate them under 111.17? If the treatment fails, the failure often happens within 6 months after treatment starts, and there will often be a change in the treatment regimen. If a child attains age 2 during the evaluation period, additional measurements are not needed. It is merely an assertion of desire, and a declaration of intention to use the language of rights to acquire said desire. 8.03 Bullous disease (for example, pemphigus, erythema multiforme bullosum, epidermolysis bullosa, bullous pemphigoid, dermatitis herpetiformis), with extensive skin lesions that persist for at least 3 months despite continuing treatment as prescribed. Treatment of type 2 DM generally requires lifestyle changes, such as increased exercise and dietary modification, and sometimes insulin in addition to other medications. Acute respiratory failure requiring invasive mechanical ventilation; or. Listing 12.05 has two paragraphs, designated A and B, that apply to only intellectual disorder. These manifestations may not correlate with the severity of your IBD. How do we document and evaluate HIV infection? B. For most of these listings, if you do not have continuing treatment as prescribed, if your treatment has not lasted for at least 3 months, or if you do not have extensive skin lesions that have persisted for at least 3 months, your impairment cannot meet the requirements of these skin disorder listings. Counting seizures. For children from birth to attainment of age 2. 1. In adults, inflammatory arthritis involving peripheral joints may be associated with disorders such as: (iv) Crystal deposition disorders (gout and pseudogout); d. Documentation of inflammatory arthritis. 3. Enucleation of the eye (ocular melanoma). If you have a severe medically determinable impairment(s) that does not meet a listing, we will determine whether your impairment(s) medically equals a listing. Response to treatment. Acute leukemia (including all types of lymphoblastic lymphomas and juvenile chronic myelogenous leukemia (JCML)). Secondary lymphedema is due to obstruction or destruction of normal lymphatic channels due to tumor, surgery, repeated infections, or parasitic infection such as filariasis. Major abnormalities of ventricular development. We evaluate pituitary gland cancer under 113.13A and do not require additional criteria to evaluate it. (viii) Left main coronary stenosis of 50 percent or greater that has not been bypassed. They may be for three different complications of the disorder. 2. Stem cell transplantation as described under 14.00E3. What is ischemic heart disease (IHD)? Definitive documentation of HIV infection. Immune system disorders can cause a deficit in a single organ or body system that results in extreme (that is, very serious) loss of function. Hemolytic anemias, both congenital and acquired, are disorders that result in premature destruction of red blood cells (RBCs). They must also include the blood pressures at the ankle and other pertinent sites measured after exercise and the time required for the systolic blood pressure to return toward or to the pre-exercise level. We use the relevant evidence that we have to evaluate your musculoskeletal functioning with respect to the work environment rather than the home environment. These disorders are characterized by experiencing or witnessing a traumatic or stressful event, or learning of a traumatic event occurring to a close family member or close friend, and the psychological aftermath of clinically significant effects on functioning. If you have a severe medically determinable impairment(s) that does not meet a listing, we will determine whether your impairment(s) medically equals a listing. For 24 months from the date of initial diagnosis. How do we evaluate musculoskeletal disorders that do not meet one of these listings? b. 18. 7. We may also document manifestations of HIV infection without definitive laboratory evidence. The effects of pituitary gland disorders vary depending on which hormones are involved. We may also find you disabled at the last step of the sequential evaluation process. DKA is an acute, potentially life-threatening complication of DM in which the chemical balance of the body becomes dangerously hyperglycemic and acidic. Pathologic fractures may occur with osteoporosis, osteogenesis imperfecta or any other skeletal dysplasias, side effects of medications, and disorders of the endocrine or other body systems. 13.19 Liver or gallbladder - cancer of the liver, gallbladder, or bile ducts. 1. Examples of congenital hemolytic anemias include sickle cell disease, thalassemia, and their variants, and hereditary spherocytosis. We need medical evidence to document and assess the severity of your respiratory disorder. Exercise tests may also be performed using echocardiography to detect stress-induced ischemia and left ventricular dysfunction (see 4.00C12 and 4.00C13). To assess the severity of the impairment, we need a description of the extent of involvement of linear scleroderma and the location of the lesions. c. Disorders of the veins or arteries (for example, obstruction, rupture, or aneurysm) may cause impairments of the lower extremities (peripheral vascular disease), the central nervous system, the eyes, the kidneys, and other organs. a. This evidence must describe any limitation(s) in your upper or lower extremity functioning and the circumstances for which you need to use the assistive device. a. Hyperglycemia. If you have a cochlear implant, we will consider you to be disabled until 1 year after initial implantation. Whenever the initial planned therapy is multimodal, we usually cannot make a determination about the effectiveness of the therapy until we can determine the effects of all the planned modalities. b. there are distinct stages but individuals do not necessarily follow the same sequence. In the absence of evidence of a chronic impairment, episodes of acute liver disease do not meet 5.05. Clinically documented tender abdominal mass palpable on physical examination with abdominal pain or cramping that is not completely controlled by prescribed narcotic medication, present on at least two evaluations at least 60 days apart; or, 4. 3. The eGFR is an estimate of the filtering capacity of the kidneys that takes into account serum creatinine concentration and other variables, such as your age, gender, and body size. a. How do we evaluate the effects of endocrine disorders? We need corroborating evidence to document recurrence, such as radiological studies or findings on physical examination. a. Consider under a disability for 3 years from the date of the transplant; after that, evaluate the residual impairment(s). Polymyositis and dermatomyositis (114.05). 15. Laboratory findings as described in 1 or 2, documented on at least two occasions at least 90 days apart during a consecutive 12-month period: 1. Because the effects of treatment may be temporary or long-term, in most cases we need information about the impact of your treatment, including its expected duration and side effects, over a sufficient period of time to help us assess its outcome. Consider under a disability for 24 months from the date of diagnosis. Ischemia is rare in children, but when it occurs, its effects on children are the same as on adults. How do we consider symptoms of fatigue in these listings? We evaluate non-mosaic Down syndrome under 110.06. 2. (ii) During infancy, other manifestations of chronic heart failure may include repeated lower respiratory tract infections. (ii) The test must be administered while you are breathing room air; that is, without oxygen supplementation. To satisfy the functional criteria in 7.18, your hematological disorder must result in a marked level of limitation in one of three general areas of functioning: Activities of daily living, social functioning, or difficulties in completing tasks due to deficiencies in concentration, persistence, or pace. What are the paragraph B criteria for 112.14? We will consider all relevant evidence about your mental disorder and your daily functioning that we receive from you and from people who know you. Examples of this information include your Individualized Education Programs (IEPs), your Section 504 plans, comprehensive evaluation reports, school-related therapy progress notes, information from your teachers about how you function in a classroom setting, and information about any special services or accommodations you receive at school. Behavioral side effects may also occur. 2. 6. Each hospitalization must last at least 48 hours, including hours in a hospital emergency department immediately before the hospitalization. h. Side effects of medication or other treatment that limit your ability to function. The degree of limitation of an area of mental functioning also reflects the kind and extent of supports or supervision you receive and the characteristics of any structured setting where you spend your time, which enable you to function. We consider: b. 10. We will not purchase imaging, or other diagnostic tests, or laboratory tests that are complex, may involve significant risk, or that are invasive. b. WebPassword requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Systemic sclerosis (scleroderma) (114.04). c. For purposes of 104.05, there must be a documented association between the syncope or near syncope and the recurrent arrhythmia. Amputation of both upper extremities (1.20A). The total head sentence was 5 years and 6 months If your impairment(s) does not meet or medically equal a listing, we will consider the effects of your hepatitis when we assess whether your impairment(s) functionally equals the listings. Carcinoma-in-situ. 2. 3. These listings are only examples of common cardiovascular disorders that we consider severe enough to result in marked and severe functional limitations. B. What is Marfan syndrome and how will we evaluate it? 102.10 Hearing loss not treated with cochlear implantation. This disruption can have many different effects in other body systems. 11.08 Spinal cord disorders, characterized by A, B, or C: A. b. Psychometric standards. B. Multiple sclerosis (MS) is a chronic, inflammatory, degenerative disorder that damages the myelin sheath surrounding the nerve fibers in the brain and spinal cord. Your impairment will continue to meet 105.07 as long as you remain dependent on daily parenteral nutrition via a central venous catheter for most of your nutritional requirements. A laboratory report of karyotype analysis signed by a physician, or both a laboratory report of karyotype analysis not signed by a physician and a statement by a physician that you have Down syndrome (see 10.00C1), or, B. 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