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.

Glomerulosclerosis


Related Terms

  • Focal and Segmental Hyalinosis
  • Focal Glomerulosclerosis
  • Focal Sclerosis with Hyalinosis
  • Focal Segmental Glomerulosclerosis
  • FSGS
  • Glomerular Sclerosis
  • Segmental Glomerulosclerosis
  • Segmental Hyalinosis

Differential Diagnosis

  • Abdominal aortic aneurysm
  • Acute nephritic syndrome
  • Diabetes
  • Glomerulonephritis
  • Human immunodeficiency virus (HIV)
  • Hypertensive nephropathy
  • Intravenous drug abuse
  • Lymphoma
  • Medication-induced interstitial nephritis
  • Postobstructive nephropathy
  • Renal artery stenosis
  • Sarcoidosis
  • Severe obesity

Specialists

  • Internal Medicine Physician
  • Nephrologist
  • Urologist

Comorbid Conditions

Factors Influencing Duration

The degree of symptoms and extent of kidney damage at the time of diagnosis will affect the disability duration. Progression of the condition and development of nephrotic syndrome will increase the length of disability.

Medical Codes

ICD-9-CM:
582.1 - Glomerulosclerosis, Chronic, with Lesion of Membranes

Treatment

Scarred glomeruli cannot be repaired; this condition may be chronic and lifelong. The goal of treatment is to slow progression of the condition and control the symptoms associated with nephrotic syndrome and chronic renal failure. Long-term corticosteroid therapy may induce complete or partial remission in 30 to 60% of individuals. Immunosuppressive medications (such as cyclosporine or mycophenolate) may induce remission when corticosteroids only produce slight improvement or relapse occurs. Several drugs, as well as drug doses and combinations are tried to find the optimal treatment for each individual. Underlying diabetes must be controlled. Hypertension is usually controlled by medication such as angiotensin-converting enzyme (ACE) inhibitors or with combination antihypertensive drug therapy. Treatment of high cholesterol and triglyceride levels, also common with this disorder, may be recommended to reduce the potential for developing atherosclerosis, and can be achieved with medication (statins). To lighten the waste load on the kidneys, a low-protein, low-cholesterol, and low-saturated-fat diet is generally recommended; low-sodium diets may help control edema. Kidney dialysis or a kidney transplant may be necessary if renal failure develops.

Source: Medical Disability Advisor






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