Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Addison's Disease


Related Terms

  • Adrenal Insufficiency
  • Adrenocortical Insufficiency
  • Chronic Adrenal Insufficiency
  • Corticoadrenal Insufficiency
  • Hypoadrenalism
  • Hypocortisolism
  • Primary Adrenal Gland Failure
  • Primary Adrenal Insufficiency
  • Primary Adrenocortical Insufficiency
  • Waterhouse-Friderichsen Syndrome

Differential Diagnosis

  • Bacterial sepsis (in Addisonian crisis)
  • Chronic infection(s)
  • Disorders of oral pigmentation
  • Gastrointestinal disorders
  • Graves' disease
  • Hashimoto's thyroiditis
  • Heavy metal poisoning
  • Mental depression
  • Myopathies
  • Nutritional disorders (e.g., pellagra)
  • Parathyroid disorders
  • Peutz-Jeghers syndrome
  • Salt-losing nephritis
  • Schmidt's syndrome
  • Shock
  • Syndrome of inappropriate antidiuretic hormone (SIADH)

Specialists

  • Endocrinologist

Comorbid Conditions

  • Autoimmune diseases (e.g., rheumatoid arthritis, lupus)
  • Conditions requiring surgical intervention
  • Infection
  • Liver dysfunction
  • Tuberculosis

Factors Influencing Duration

Individuals with Addison's disease should be well-informed regarding their disease, including how to avoid factors and environments that may cause an acute adrenal crisis. Individuals who are careless with their medication regimen, or do not avoid stressful situations, will have a longer disability and a higher incidence of complications.

Medical Codes

ICD-9-CM:
255.41 - Disorders of Adrenal Glands, Corticoadrenal Insufficiency; Glucocorticoid Deficiency; Addisonian Crisis, Addisons Disease NOS, Adrenal Atrophy (Autoimmune), Adrenal Calcification, Adrenal Crisis, Adrenal Hemorrhage, Adrenal Infarction, Adrenal Insufficiency NOS, Combined Glucocorticoid and Mineralocorticoid Deficiency
255.42 - Disorders of Adrenal Glands, Corticoadrenal Insufficiency; Mineralocorticoid Deficiency; Hypoaldosteronism

Prognosis

With careful management, an individual with Addison's disease can live a full, relatively active life. However, illness, stress, and even general anesthesia for surgery can bring on an adrenal crisis necessitating special care and adjustments in replacement hormone dosages.

Untreated, Addison's disease is a progressive condition that can gradually result in severe abdominal pain, extremely low blood pressure, and kidney failure. Addisonian crisis must be treated immediately or coma and death can occur.

Source: Medical Disability Advisor






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