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.

Hernia, Hiatal


Related Terms

  • Diaphragmatic Hernia
  • Hiatus Hernia
  • Mixed Hernia
  • Paraesophageal Hernia
  • Sliding Hernia
  • Type I Hernia
  • Type II Hernia
  • Type III Hernia
  • Type IV Hernia

Differential Diagnosis

Specialists

  • Gastroenterologist
  • General Surgeon

Comorbid Conditions

Factors Influencing Duration

Factors that may influence the length of disability include the type and severity of the hernia, the surgical procedure used to fix the hernia, the presence and nature of complications, and the individual's age, health status, and job requirements. The length of disability may be significantly prolonged if the hernia recurs.

Medical Codes

ICD-9-CM:
551.3 - Diaphragmatic Hernia with Gangrene; Hernia: Hiatal (Esophageal) (Sliding) Specified and Gangrenous, Paraesophageal Specified as Gangrenous; Thoracic Stomach Specified as Gangrenous
552.3 - Diaphragmatic Hernia with Obstruction
553.3 - Hernia, Hiatal

Complications

Possible complications of hiatal hernia may include backflow of stomach acid into the esophagus (esophageal reflux), which can cause the esophagus to bleed and erode (ulcerate). Occasionally these symptoms may lead to cellular changes that predispose toward esophageal cancer (Barrett's esophagus). Stomach contents may be aspirated into the lungs while asleep, with consequent respiratory infection (aspiration pneumonia) and/or symptoms of asthma. Bleeding from the lower esophagus or inner lining of the stomach also may result in anemia; massive bleeding rarely occurs. Excessive gas (flatulence) and swelling of the upper abdomen (epigastric distention) may occur. An abnormal narrowing (stricture) of the esophagus or stomach is another potential complication. Occasionally, the prolapsed stomach may twist on itself (organo-axial gastric volvulus), producing pain, nausea, vomiting, and tissue death (necrosis). This condition is potentially a life-threatening situation and requires immediate surgical intervention.

Source: Medical Disability Advisor






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