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.

Tuberculosis, Respiratory


Related Terms

  • Consumption
  • TB
  • White Death
  • White Plague

Differential Diagnosis

  • Acute respiratory distress syndrome (ARDS)
  • Addison's disease
  • Albuminuria
  • Alcoholism
  • Ascites
  • Blastomycosis
  • Bone marrow failure
  • Cardiac tamponade
  • Disseminated intravascular coagulopathy (DIC)
  • Eosinophilic pneumonia
  • Epididymal tuberculosis
  • Histoplasmosis
  • HIV-related pulmonary opportunistic infections
  • Hyponatremia
  • Influenza
  • Lactic acidosis
  • Lung, nontuberculous mycobacterial infections
  • Lymphangitic spread of cancer
  • Measles
  • Pancreatic abscess
  • Pneumocystis jiroveci pneumonia
  • Pneumonia, bacterial
  • Pneumonia, community-acquired
  • Pneumonia, fungal
  • Pneumonia, viral
  • Pulmonary alveolar microlithiasis
  • Sarcoidosis, thoracic
  • Silicosis and coal worker pneumoconiosis

Specialists

  • Infectious Disease Internist
  • Internal Medicine Physician
  • Preventive Medicine Specialist
  • Pulmonologist

Comorbid Conditions

  • Bacterial infection
  • Cancer
  • Fungal infection
  • HIV/AIDS
  • Leukemia
  • Lymphoma
  • Radiation induced disorders
  • Steroid induced disorders

Factors Influencing Duration

Length of disability may be influenced by the severity and extent of infection, response to treatment, and whether the infection has spread to other body systems. Individuals with a drug-resistant strain of bacteria or those with a weakened immune system may have a longer period of disability. Individuals experiencing drug side effects may also experience extended disability.

Medical Codes

ICD-9-CM:
010.90 - Primary Tuberculous Infection, Unspecified Type, Confirmation Unspecified
010.91 - Primary Tuberculous Infection, Unspecified; Bacterial or Histological Examination Not Done
010.92 - Primary Tuberculous Infection, Unspecified; Bacterial or Histological Examination Unknown
010.93 - Primary Tuberculous Infection, Unspecified; Tubercle Bacilli Found (in Sputum) by Microscopy
010.94 - Primary Tuberculous Infection, Unspecified; Tubercle Bacilli Found by Bacterial Culture
010.95 - Primary Tuberculous Infection, Unspecified; Tuberculosis Confirmed Histologically
010.96 - Primary Tuberculous Infection, Unspecified; Tubercle Bacilli Confirmed by Other Methods, Inoculation of Animals
012.00 - Tuberculous Pleurisy; Tuberculosis of Pleura; Tuberculous Empyema; Tuberculous Hydrothorax; Unspecified
012.80 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Unspecified
012.81 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Bacterial or Histological Examination Not Done
012.82 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Bacterial or Histological Examination Unknown
012.83 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Tubercle Bacilli Found (in Sputum) by Microscopy
012.84 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Tubercle Bacilli Found by Bacterial Culture
012.85 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Found by Tuberculosis Confirmed Histologically
012.86 - Respiratory Tuberculosis, Other Specified; Tuberculosis of Mediastinum, Nasopharynx, Nose (Septum), Sinus, Any Nasal; Tuberculosis Confirmed by Other Methods [Inoculation of Animals]
137.0 - Late Effects of Respiratory or Unspecified Tuberculosis

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Were symptoms such as fatigue, weight loss, fever, chills, night sweats, anorexia, chest pain, or a productive persistent cough present?
  • Does individual have a history of past infection or recent exposure to TB?
  • Does individual have underlying immune suppression (i.e., HIV, leukemia, lymphoma, cancer, steroid or radiation treatment)?
  • Did individual have a positive Mantoux test? Was the diagnosis confirmed with a sputum culture? Chest x-ray?
  • Were additional diagnostic tests done to rule out other organ involvement?
  • If the diagnosis is uncertain, were other conditions with similar symptoms (i.e., other lung infections, sarcoidosis, or lung cancer) ruled out?

Regarding treatment:

  • Did individual receive prompt diagnosis and appropriate combination antibiotic therapy?
  • Has individual been compliant with antibiotic treatment regimen?
  • Has individual undergone follow-up cultures to verify effectiveness of treatment?
  • Has individual experienced any side effects from the medication?
  • Has individual stopped taking medication because of side effects? If so, what alternatives are available?
  • Does individual fully understand the importance of completing the whole course of medication?

Regarding prognosis:

  • Based on the severity of symptoms, the type of treatment required, and the general health of individual, what was the expected outcome?
  • Has adequate time elapsed for recovery?
  • Has individual completed the full course of medications?
  • Have repeat cultures been done to determine if there is drug resistance? Have appropriate changes been made in the medications?
  • Does individual have an underlying condition (HIV or other immune suppressing condition) that may impact ability to recover?

Source: Medical Disability Advisor






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