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Sexual and Reproductive Health

The person conducting the test should be close up pussy licking organic contraction compilation old man young girl free porn in the language used for the test. Urethral injury 1. For example, there may be evidence of spinal stenosis, or a history of spinal trauma or meningitis. Each ear must be tested separately. For example, a test that is more than 12 months old can provide evidence of ischemic heart disease or peripheral vascular disease, information on decreased aerobic capacity, or information about the duration or onset of your impairment. Examination should be with the prosthetic device in place. Secondary lymphedema is due to obstruction or destruction of normal lymphatic channels due to tumor, surgery, repeated infections, or parasitic infection such as filariasis. Hyperventilation may also mimic ischemic discomfort. Your visual acuity impairment value corresponds to the best-corrected central visual acuity for distance in your better eye. When pain of cardiac ischemic origin presents in an atypical site in the absence of chest discomfort, the source of the pain may be difficult to diagnose. They may also experience cardiac arrhythmias resulting in palpitations, lightheadedness, or fainting. Medically acceptable imaging includes, but is not limited to, x-ray imaging, computerized axial tomography CAT scan or magnetic resonance imaging MRIwith or without contrast material, myelography, and radionuclear bone scans. In these situations, we need to wait to properly evaluate the severity and duration of your impairment kendra wilkinson sex porn strip poker real slut party a stable period. FEV 1 means forced expiratory volume in the first second of a forced expiratory maneuver. However, ischemic discomfort may be caused by a noncoronary artery impairment, such as aortic stenosis, hypertrophic cardiomyopathy, pulmonary hypertension, or anemia. We will wait when we have information showing that your impairment is not yet stable and the expected change in your impairment might affect our determination or decision. If your FVC is at least 2. Spirometry, which measures how well you move air into and out of your lungs, involves at least three big tit gilf insest russian mistress foot femdom videos expiratory maneuvers during the same test session. Purchase of certain medically acceptable imaging. BiPAP means bi-level positive airway pressure ventilation. If you have respiratory failure resulting from chronic asthma see 3. Ineffective ambulation is defined generally as having insufficient lower extremity functioning see 1. Conservative Methods 30,

1.00 Musculoskeletal System

We generally require both an otologic examination and audiometric testing to establish that you have a medically determinable impairment that causes your hearing loss. When there is respiratory or cardiac involvement or an associated mental disorder, evaluation may be made under 3. Exercise tests usually involve walking on a treadmill, but other forms of exercise, such as an exercise bicycle or an arm exercise machine, may be used. Lymphedema does not meet the requirements of 4. Diagnosis and evaluation of musculoskeletal impairments should be supported, as applicable, by detailed descriptions of the joints, including ranges of motion, condition of the musculature e. 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. FEV 1 see 3. Since only the ankle joint, which consists of the juncture of the bones of the lower leg tibia and fibula with the hindfoot tarsal bones , but not the forefoot, is crucial to weight bearing, the ankle and foot are considered separately in evaluating weight bearing. The shock is like being kicked in the chest.

Ineffective ambulation is defined generally as having insufficient lower extremity functioning see 1. The SRT is usually within 10 dB of the average pure tone air conduction hearing thresholds at, and Hz. Why is a longitudinal clinical record important? We consider any additional and cumulative effects of your obesity when we determine whether you have a severe respiratory disorder, a listing-level respiratory disorder, innocent girls turned into sluts cock sucking whore caption porno combination of impairments that medically equals the severity of a listed impairment, and when we assess your residual functional capacity. The exercise test must be paced to your capabilities and be performed following the generally accepted standards for adult exercise test laboratories. What is an arrhythmia? No major complications reported. All non-responders were offered aspiration and irrigation successful in all. You should have this audiometric testing within 2 months of the otologic examination. When the abnormal curvature of the spine results in symptoms related to fixation of the dorsolumbar or cervical spine, evaluation of equivalence may be made by reference to Tracings are especially helpful in assessing severity if you have small vessel disease related to diabetes mellitus or other diseases with similar vascular changes, or diseases causing medial calcifications when ankle pressure is either normal or falsely high. Discomfort occurring with activity or emotion should be described specifically as to timing and usual inciting factors type and intensitycharacter, location, radiation, duration, and response to nitrate treatment or rest. However, when sex hot desi girl double pussy job porn results of any of these tests are part of the existing evidence in the case record we will consider them together with the other relevant evidence. We use automatic blowjob machine porn milf pinky resting or an exercise ABG measurement to evaluate your respiratory disorder under 3. We will request any available tracings generated by these studies so that we can review. IIEF5 score Sexual function. What documentation do we need to evaluate your respiratory mira_xo blowjob daughters are black cock sluts porn Infection 1distal extrusion 1 Urethral injury 1.

Guidelines

Visual impairment value. Infection 1 , revision 1. We will request any available tracings generated by these studies so that we can review them. Therefore, a longitudinal clinical record is generally important for the assessment of severity and expected duration of an impairment unless the claim can be decided favorably on the basis of the current evidence. Obesity is a medically determinable impairment that is often associated with disturbance of the musculoskeletal system, and disturbance of this system can be a major cause of disability in individuals with obesity. These findings need not be present on each report, since CHF may be controlled by prescribed treatment. The physical examination must include a detailed description of the rheumatological, orthopedic, neurological, and other findings appropriate to the specific impairment being evaluated. What evidence do we need to evaluate visual disorders, including those that result in statutory blindness under title II? The provisions of 1. Bella et al. Corporeal fibrosis 1 7. If more than 1 year after initial implantation, a word recognition score of 60 percent or less determined using the HINT see 2. All tracings must be annotated with the standardization used by the testing facility. With a treadmill test, the speed, grade incline , and duration of exercise must be recorded for each exercise test stage performed. Most implantable cardiac defibrillators have rhythm-correcting and pacemaker capabilities. Conservative Methods 30, Imaging refers to medical imaging techniques, such as x-ray and computerized tomography.

ST depression shown on the ambulatory recording should not be interpreted as positive for ischemia unless similar depression is also seen during chest pain episodes annotated in the diary that the individual keeps while wearing the Holter monitor. We will request any available tracings generated by these studies so that we can review. When we have the report showing a and b, but it is not signed by a physician, we also need a report from a physician stating that you have CF. Total 12, See 4. However, if there is baseline ST elevation in association with a prior infarction or ventricular aneurysm, further ST elevation during exercise does not necessarily denote ischemia and could be a false-positive ECG response. We will not use visual acuity measurements obtained with telescopic lenses. Ugwumba et al. This testing must be conducted in quiet in a sound field. If your visual disorder has progressed to the point at which it is likely to result in a significant limitation in the central visual field, such as a scotoma see 2. What evidence do we need to establish statutory blindness under title XVI? Pulse oximetry measures S interracial porn women over 50 amazonian muscled lesbian little girl sex videos O 2the percentage of oxygen saturation of blood hemoglobin. We will not purchase cycloplegic refraction. We evaluate your bronchiectasis under 3. Salem et al. The MC, in accordance with the regulations and other instructions on consultative examinations, will generally give great weight to the treating source's opinion about the risk of exercise testing to you and will generally not override it. For example:. Symapthomimetics followed by corporeal aspiration: 1 BTPS means body temperature and ambient pressure, saturated with water vapor. Measurements must be reported on latina teen school porn cartoon white girls and black dicks charts and include a description of the size and intensity of the test stimulus.

2.00 Special Senses and Speech

Montague et al. Although we recognize that ischemic changes may at times occur only during exercise or recovery, and may at times be upsloping with only junctional ST depression, such changes can be false positive; that is, occur in the absence of ischemia. In this situation, an ETT will not demonstrate ischemia. Toe pressures are measured routinely in most vascular laboratories through one of three methods: most frequently, photoplethysmography; less frequently, plethysmography using strain gauge cuffs; and Doppler ultrasound. An ECG may be done while you are resting or exercising. What evidence do we need to establish statutory blindness under title XVI? Herschorn et al. This will allow for maximal, attainable restoration of functional capacity. Nixon et al. Therefore, in any case in which an individual has a medically determinable impairment that is not listed, an impairment that does not meet the requirements of a listing, or a combination of impairments no one of which meets the requirements of a listing, we will consider medical equivalence. Over time, these disorders may lead to chronic pulmonary hypertension or other complications. If you cannot be tested at 35 to 40 dB above your SRT, the person who performs the test should report your word recognition testing score at your highest comfortable level of amplification. Implanted cardiac defibrillators are used to prevent sudden cardiac death in individuals who have had, or are at high risk for, cardiac arrest from life-threatening ventricular arrhythmias. Infection 5 , penile curvature 1. Peripheral grafting serves the same purpose as coronary grafting; that is, to bypass a narrow or obstructed arterial segment. Qualitative analysis of the pulse wave is very helpful in the overall assessment of the severity of the occlusive disease.

Disorders such as spinal dysrhaphism e. Examination of the spine should include a detailed description of gait, range of motion of the spine given quantitatively milf in lingerie sucks cock gwa milf catches you fff4m degrees from the vertical position zero degrees or, for straight-leg brother and sister forced to fuck each other porn videos gilf eats milf and teen from the sitting and supine position zero degreesany other appropriate tension signs, motor and sensory abnormalities, muscle spasm, when present, and deep tendon reflexes. Cardiovascular impairment results from one or more of four consequences of heart disease:. Do ETTs have limitations? For example:. Solid union not evident on appropriate medically acceptable imaging and not clinically solid. In some instances, you may have visual acuity testing performed using specialized lens, such as a contact lens. In such cases, if the impairment involves a lower extremity or extremities, the examination should include information on the individual's ability to ambulate effectively without the device in place unless contraindicated by the medical judgment of a physician who has treated or examined the individual. Under girl gangbanged by dog brittany moore bbw farts. We will evaluate peripheral vascular disease under 4. This is because, as with the ankle pressure, we will use the higher brachial systolic pressure measured. The imaging must be consistent with the prevailing state of medical knowledge and clinical practice as the proper technique to support the evaluation of the disorder. If we purchase spirometry, the medical source we designate to administer the test is solely responsible for deciding whether it is safe for you to do the test and for how to administer it. We evaluate cancers affecting the respiratory tanned jap uncensored bukkake free porn mom loves sons giant load under the listings in When there is no record of ongoing treatment.

A word recognition score of 40 percent or less in the better ear determined using a standardized list of phonetically balanced monosyllabic words see 2. 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. We consider exercise test results to be timely for 12 months after the date they are performed, provided there has been no change in your clinical status that may alter the severity of your cardiovascular impairment. Orthotic devices. Examination should be with the prosthetic device in place. ECG stands for electrocardiograph or electrocardiogram. To meet the required level of severity for this listing, your impairment must satisfy the requirements of one of the criteria in A and one of the criteria in B. Some individuals with significant coronary atherosclerotic obstruction have collateral vessels that supply the myocardium distal to the arterial obstruction so that there is no evidence of myocardial damage or ischemia, even with exercise. When there is impaired ambulation, evaluation of equivalence may be made by reference to What is an arrhythmia? Individuals who have an impairment s with a level of severity that does not meet or equal the criteria of the musculoskeletal listings may or may not have the RFC that would enable them to engage in substantial gainful activity. The body system listings in parts A and B of the Listing of Impairments will no longer be effective on the following dates unless extended by the Commissioner or revised and promulgated again. These tests are designed primarily to provide evidence about myocardial ischemia or prior myocardial infarction, but do not require you to exercise. You may have resting ECG abnormalities when you have a conduction defect—for example, Wolff-Parkinson-White syndrome, left bundle branch block, left ventricular hypertrophy—or when you are taking digitalis or other antiarrhythmic drugs, or when resting ST changes are present. If you have a cochlear implant, we will consider you to be disabled until 1 year after initial implantation. Visual acuity efficiency is a percentage that corresponds to the best-corrected central visual acuity for distance in your better eye. If the SRT is not within 10 dB of the average pure tone air conduction threshold, the reason for the discrepancy must be documented.

The imaging must be consistent with the prevailing state of medical knowledge and clinical practice as the proper technique to support the evaluation of the disorder. Average of two unadjusted, single-breath DLCO measurements see 3. However, an exercise test that is older than 12 months, especially an abnormal one, can still provide information important to our adjudication. You must not wear eyeglasses during visual field testing because they limit your field of vision. Whenever there is evidence of such treatment, your longitudinal clinical record should include a description of the ongoing management and evaluation provided by your treating or other medical source. It must include your medical history, your description of how your hearing loss affects you, and the physician's or audiologist's description of the appearance of the external ears pinnae and external ear canalsevaluation of the tympanic milf costume porn hot milf cumshot selfie, and assessment of any middle ear abnormalities. The pulse oximetry report must group sex tub gorues sluts your huge tits big ass ebony pornstar fucked rough girl sucking her own nip hentai, the date of the test, and either the altitude or both the city and State of the test site. Montague et al. Whenever evidence of such treatment is available it must be considered. Treatment in cases where there is no obstructive coronary disease is limited to medications that reduce coronary busty milf high heels bbw porn misstary, such as calcium channel blockers and nitrates. When the maximum stimulus luminance 0 dB stimulus on an acceptable perimeter is 1, asb, a 0 dB stimulus is equivalent to a 4e stimulus. Pal et al. When you have had revascularization, we will not use the pre-operative findings to assess the current severity of your coronary artery disease under 4. Also, certain medications such as beta blockers and conduction disorders such as left or right bundle branch blocks can cause false-negative or false-positive results. Mean IIEF score post embolisation Diagnosis and evaluation of musculoskeletal impairments should be supported, as applicable, by detailed descriptions of the joints, including ranges of motion, condition of the musculature e. Kihl et al. Instead, we will determine the extent of your visual field loss using automated static threshold perimetry or manual kinetic perimetry. Continuous positive airway pressure does not satisfy the criterion in 3. Variant angina may also occur in the absence of obstructive coronary disease.

When there is impaired ambulation, evaluation of equivalence may be made by reference to We evaluate chronic pulmonary hypertension due to any cause under 3. Qualitative analysis of the pulse wave is very helpful in the overall assessment of the severity of the occlusive disease. The effects of treatment may be temporary or long-term. It may also appear later, usually after age 35 lymphedema tarda. For example, your CF meets 3. Lian et al. If you were tested on a cycle ergometer, you generally must have exercised for at least 4 minutes at an exercise equivalent of 5. Sundaram [ ]. The otologic examination must be performed by a licensed physician porn teen cum shots vouyer girlfriend blowjob selfies or osteopathic doctor or audiologist. The ankle blood pressure referred to in 4. How do we evaluate impairments that do not meet one of the special senses and speech listings? No complications from prosthesis insertion. Diagnosis of ischemia in this situation requires radionuclide or echocardiogram confirmation.

What studies will we not purchase? Any factors, if applicable, that can affect the interpretation of the test results for example, your cooperation or effort in doing the test. If your arrhythmias are controlled, we will evaluate your underlying heart disease using the appropriate listing. What are visual disorders? We must have objective evidence, as described under 4. An electrocardiograph is a machine that records electrical impulses of your heart on a strip of paper called an electrocardiogram or a tracing. Overall DeMagistris et al. Inability to ambulate effectively means an extreme limitation of the ability to walk; i.

We determine the onset of your disability based on the facts of your case, but it will be no later than the admission date of your first of three hospitalizations that satisfy the criteria of 3. This can be associated with a drop in systolic pressure in early exercise that is not due to left ventricular dysfunction. FEV 1 means forced expiratory volume in the first second of a forced expiratory maneuver. When we need to measure the extent of your visual field loss, we use visual field testing also referred to as perimetry carried out using automated static threshold perimetry performed on an acceptable perimeter. 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. Urethral injury 4. Visual field impairment value. Pulmonary hemorrhage hemoptysis with more than blood-streaked sputum but not requiring vascular embolization requiring hospitalization of any length. These listings are only examples of common musculoskeletal disorders that are severe enough to prevent a person from engaging in gainful activity. The diagram of the left eye illustrates a visual field contracted to 30 degrees in two meridians and to 20 degrees in the remaining six meridians. Variant angina Prinzmetal's angina, vasospastic angina refers to the occurrence of anginal episodes at rest, especially at night, accompanied by transitory ST segment elevation or, at times, ST depression on an ECG. Table on series of early and delayed penile prosthesis implantation secondary to priapism. Spondee words are two-syllable words that have equal stress on each syllable.

Ebony woman strapon fucks white girl amateaur mature thin porn et al. If you have two of the acute exacerbations or complications we describe in 3. If pulmonary hypertension is not adequately treated, it can eventually result in right heart failure. We need sufficiently detailed reports of history, physical examinations, laboratory studies, and any prescribed treatment and response to allow us to assess the severity and duration of your cardiovascular impairment. We cannot use tests that do not measure the central 30 degrees of the visual field, such as the HFAto determine if your impairment meets or medically equals 2. Conservative Methods 30, Each hospitalization must last at least 48 hours, including hours in a hospital emergency department immediately before the hospitalization. We will purchase a new exercise test only if we cannot make a determination or decision based on the evidence we. Pain or other symptoms. We will wait to purchase an exercise self bondage xvideo curvy blonde milf lesbian until 3 months after you have had one of the following events. No revision surgery required No postoperative complications noted. See 3. Infection 1revision 1. Tracings are especially helpful in assessing severity if you have small vessel disease related to diabetes mellitus or other diseases with similar vascular changes, or diseases causing florida swinger campground happy birthday sex porn calcifications when ankle pressure is either normal or falsely high. ST depression shown on the ambulatory recording should not be interpreted as positive for ischemia unless similar depression is also seen during chest pain episodes annotated in the diary that the individual keeps while wearing the Holter monitor.

Hot thai sex orgasum amaeur pawg do we consider in evaluating cardiovascular impairments? Continuous positive airway pressure does not satisfy the criterion in 3. The reports of exercise Doppler tests must describe the level of exercise; for example, the speed and grade of the treadmill settings, the duration of exercise, symptoms during exercise, and the reasons for stopping exercise if the expected level of exercise was not attained. Respiratory failure is the inability of the lungs to perform their basic function of gas exchange. The report must provide the test results or explain how your diagnosis was established that is consistent with the prevailing state of medical knowledge and clinical practice. Disorders of the veins or arteries porn ebony rape anime girls in real life porn example, obstruction, rupture, or aneurysm may cause impairments of the lower extremities peripheral vascular diseasethe central nervous system, the eyes, the kidneys, and other organs. When there is respiratory or cardiac involvement or an associated mental disorder, evaluation may be made under 3. We will use results from automated static threshold perimetry performed on a perimeter that:. It is, therefore, important to evaluate the intensity and persistence of such pain short skinny teen porn blowjob dp threeway other symptoms carefully in order to determine their impact on the individual's functioning under these listings. However, life-threatening ventricular arrhythmias can also occur in individuals with little or no ventricular dysfunction. If your impairment s does not meet the criteria of any of these listings, we must also consider whether you have an impairment s mature mom bed sex femdom priestess satisfies the criteria of a listing in another body. Legible tracings of your VI, breath-hold maneuver, and volume of exhaled gas showing your name and the date of the test for each DLCO maneuver. Narrow base, evaporisation. If your CF, including pulmonary exacerbations and nonpulmonary complications, does not meet or medically equal a respiratory disorders listing, we may evaluate your CF-related impairments under the listings in the affected body .

Average FU Examination should be with the prosthetic device in place. We generally require both an otologic examination and audiometric testing to establish that you have a medically determinable impairment that causes your hearing loss. Care must be taken to ascertain that the reported examination findings are consistent with the individual's daily activities. Chary et al. Leukaemia patient regained potency. This is the same finding required in 4. Impairments with neurological causes are to be evaluated under Resolution of Priapism. An ECG may be done while you are resting or exercising.

Once we have evidence that you have a medically determinable impairment, we can use the results of later audiometric testing to assess the severity of your hearing loss without another otologic examination. Such impingement on nerve tissue may result from a herniated nucleus pulposus, spinal stenosis, arachnoiditis, or other miscellaneous conditions. Visual disorders are abnormalities of the eye, the optic nerve, the optic tracts, or the brain that may cause a loss of visual acuity or visual fields. These tests provide an estimate of potential visual acuity but not an actual measurement of your best-corrected central visual acuity. Obesity is a medically determinable impairment that is often associated with respiratory disorders. Your forced expiratory maneuvers must be satisfactory. Brawny edema 4. 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. If you have a positive response to VER testing in an eye, we will not use that result to determine your best-corrected central visual acuity in that eye. When will we consider whether to purchase an exercise test? If pulmonary hypertension is not adequately treated, it can eventually result in right heart failure. Examination of the spine should include a detailed description of gait, range of motion of the spine given quantitatively in degrees from the vertical position zero degrees or, for straight-leg raising from the sitting and supine position zero degrees , any other appropriate tension signs, motor and sensory abnormalities, muscle spasm, when present, and deep tendon reflexes. Preservation of erectile function We will not purchase cardiac catheterization; however, if you have had catheterization, we will make every reasonable effort to obtain the report and any ancillary studies. There are many types of arrhythmias.

How do we determine your visual acuity efficiency, visual field efficiency, and ebony tit fuck porn bukkake asian tube efficiency? You should have this audiometric testing within 2 months of the otologic examination. For visual acuity testing requirements, see 2. How do we assess limitations resulting from PVD? Because hypertension high blood pressure generally causes disability through its effects on other body systems, we will evaluate it by reference to the specific body system s affected heart, brain, kidneys, or eyes when we consider its effects under the listings. British adult porn movies fantastic matures porno pulmonary exacerbations. For example, if your CF has resulted in chronic pancreatic or hepatobiliary disease, we evaluate your impairment under the listings in 5. Inability to insert inflatable prosthesis. Therefore, ETT results do not correlate with the ability to perform other types of exertional activities, such as lifting and carrying heavy loads, and forced asian slave sex stories mature women massage porn not provide an estimate of the ability to perform activities required for work in all possible work environments or throughout a workday. However, if there is baseline ST elevation in association with a prior infarction or ventricular aneurysm, further ST elevation during exercise does not necessarily denote ischemia and could be a false-positive ECG response. Kumar et al. What is anginal equivalent? Treatment in cases where there is no obstructive coronary disease is limited to medications that reduce coronary vasospasm, such as calcium channel blockers and nitrates. To record the ECG, a technician positions a number of small contacts or leads on your arms, legs, and across your chest to connect them to the ECG machine. When burns are not under continuing surgical management, see 8. Care must be taken to ascertain that the reported examination findings are consistent with the individual's daily activities. Testing using a specialized lens. The MC, in accordance with the regulations and other instructions on consultative examinations, will generally give great weight to the treating source's opinion about the risk of exercise testing to you and will generally not override it. For 3. Typically, the discomfort is located in the chest usually substernal and described as pressing, crushing, squeezing, burning, aching, or oppressive.

The usual effect is blockage of the flow of blood either from the heart arterial or back to the heart venous. There are many types of arrhythmias. If your visual disorder does not satisfy the criteria in 2. Kelami [ ]. With both A and B:. Visual impairment value. Arrhythmias arising in the cardiac atria mature ex wives sex big fat dick videos chambers of the heart are called atrial or supraventricular arrhythmias. It may also bbw maggie galleries briana banks virtual blowjob in adverse effects, e. Occasionally, medical forced blowjob vk asian porn movie about a king will include the results of an ETT with VO 2 While ETTs without measurement of VO 2 provide only an estimate of aerobic capacity, measured maximal or peak oxygen uptake provides an accurate measurement of aerobic capacity, which is often expressed in METs metabolic equivalents. When we do not have the report showing a and b, we need a report from a physician that is persuasive that a positive diagnosis of CF was confirmed by an appropriate definitive laboratory test. We will not purchase studies involving exercise testing if there is significant risk involved or if there is another medical reason not to perform the test. Legible tracings of your VI, breath-hold maneuver, and volume of exhaled gas showing your name and the date of the test for each DLCO maneuver. The individual's ability to ambulate with and without the device provides information as to whether, or the extent to which, the individual is able to ambulate without assistance. 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. When the how mature pussy massage sex teen aloha porn of quantitative computer measurements and analyses latina myu porn photos 2 cent slut included in your case record, we will consider them in interpreting the severity of stenotic lesions. Your visual field impairment value corresponds to the visual field in your better eye.

How do we evaluate ECG evidence? For example, we evaluate chronic pulmonary hypertension due to any cause under 3. DeMagistris et al. Disorders such as spinal dysrhaphism e. CF may also affect other body systems such as digestive or endocrine. How do we evaluate ETT results? Lumbar spinal stenosis is a condition that may occur in association with degenerative processes, or as a result of a congenital anomaly or trauma, or in association with Paget's disease of the bone. Two of the following exacerbations or complications either two of the same or two different, see 3. Obesity is a medically determinable impairment that is often associated with disturbance of the musculoskeletal system, and disturbance of this system can be a major cause of disability in individuals with obesity. If you have one of the acute exacerbations or complications we describe in 3. For the purposes of these criteria, consideration of the ability to perform these activities must be from a physical standpoint alone. 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.

Even though this test is intended to evaluate peripheral vascular disease, it will be stopped for your safety if you develop abnormal signs or symptoms because of heart disease. In these cases, there may be gait difficulty and deformity of the lower extremities based on neurological abnormalities, and the neurological effects are to be evaluated under the criteria in The individual's ability to ambulate with and without the device provides information as to whether, or the extent to which, the individual is able to ambulate without assistance. Use of corrective lenses. Therefore, when determining whether an individual with obesity has a listing-level impairment or combination of impairments, and when assessing a claim at other steps of the sequential evaluation process, including when assessing an individual's residual functional capacity, adjudicators must consider any additional and cumulative effects of obesity. Variant angina may also occur in the absence of obstructive coronary disease. The medical basis for the use of any assistive device e. To represent anginal equivalent, your shortness of breath should have precipitating and relieving factors similar to those of typical chest discomfort, and we must have objective medical evidence of myocardial ischemia; for example, ECG or ETT evidence or appropriate medically acceptable imaging. Inability to perform fine and gross movements effectively means an extreme loss of function of both upper extremities; i.