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.

Vitamin D Deficiency


Related Terms

  • Osteomalacia
  • Rickets

Differential Diagnosis

  • Cancer
  • Osteoporosis
  • Paget's disease of the bone
  • Phosphorous metabolism and absorption disorders that cause osteomalacia

Specialists

  • Endocrinologist
  • Internal Medicine Physician

Comorbid Conditions

Factors Influencing Duration

Length of disability depends on the individual's symptoms and severity of those symptoms, response to treatment, underlying illness that may be causing or contributing to the vitamin D deficiency, complications or comorbid conditions, and individual's job requirements. Individuals who perform sedentary work may have a shorter disability period. Recovery also depends on the individual's compliance with the treatment regimen (e.g., use of vitamin supplements, a healthy diet, regular doctor's visits) for the vitamin deficiency and any underlying disease. Individuals who fail to comply with the treatment regimen may have a longer recovery period. Untreated cases can result in permanent disability.

Medical Codes

ICD-9-CM:
268.0 - Rickets, Active
268.2 - Osteomalacia, Unspecified
268.9 - Vitamin D Deficiency, Unspecified; Avitaminosis D

Diagnosis

History: Individuals may complain of bone pain particularly around the hips. Muscle weakness is also commonly reported. Some individuals may feel such discomfort and weakness that they choose to remain in bed. Fracturing bones after only minor trauma is also significant history. Individuals may report other symptoms such as tiredness (fatigue), muscle pain, loss of appetite (anorexia), unintentional weight loss, numbness around the mouth, tingling and/or numbness of the extremities (hands, arms, legs, feet), or muscle spasms (tetany) of the hands or feet. Lack of calcium can also cause confusion, memory loss, depression, and hallucinations.

Physical exam: The exam may reveal that the individual has lost inches in height due to collapse of the vertebrae. Reported bone pain is usually dull and spread over a large area (diffuse). Muscle weakness may be evident in the muscles close to the affected bone(s). Questioning the individual on dietary habits may reveal a lack of food sources that are typically rich in vitamin D. Further questioning may also reveal that the individual avoids being outdoors or carefully applies sunscreen before leaving the house.

Tests: Routine blood tests reveal abnormal levels of calcium and phosphate. An x-ray and/or CT of the bone(s) confirm the diagnosis. In most cases, these tests in combination with symptoms and history is sufficient for a definitive diagnosis, however, in unusual cases, a bone biopsy may be necessary to determine the extent of the mineral loss.

Source: Medical Disability Advisor






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