![]() If you have had a liver biopsy, we will make every reasonable effort to obtain the results however, we will not purchase a liver biopsy.Ī. Another laboratory finding that may be included in the evidence is a liver biopsy. Laboratory findings of your CLD may include decreased serum albumin, increased International Normalized Ratio (INR), arterial deoxygenation (hypoxemia), increased serum creatinine, oliguria (reduced urine output), or sodium retention. In the absence of evidence of a chronic liver impairment, episodes of acute liver disease do not meet the requirements of 5.05ī. We will also evaluate your symptoms of CLD, such as pruritus (itching), fatigue, nausea, loss of appetite, and sleep disturbances when we assess the severity of your impairment(s)Īnd how it affects your ability to function. We will evaluate your signs of CLD, such as jaundice, changes in size of the liver and spleen, ascites, peripheral edema, and altered mental status. Common causes of CLD in adults include chronic infection with hepatitis B virus or hepatitis C virus, and prolonged alcohol abuse.Ī. CLD is loss of liver function with cell necrosis (cell death), inflammation, or scarring of the liver that persists for more than 6 months. What is chronic liver disease (CLD), and how do we evaluate it under 5.05?ġ. The imaging must be consistent with the prevailing state of medical knowledge and clinical practice as a proper technique to support the evaluation of the disorder.Ĭ. Imaging refers to medical imaging techniques, such as x-ray, ultrasound, magnetic resonance imaging, and computerized tomography. ![]() We may also need clinical laboratory and pathology results.ģ. We need laboratory reports such as results of imaging (see 5.00B3),Įndoscopy, and other diagnostic procedures. Medical evidence should include your medical history, physical examination findings, operative reports, and relevant laboratory findings. To establish that you have a digestive disorder, we need medical evidence about the existence of your digestive disorder and its severity. What evidence do we need to evaluate your digestive disorder?ġ. We evaluate cancers affecting the digestive system under the listings in 13.00.ī. Small intestine transplantation ( 5.11), and pancreas transplantation ( 5.12). Weight loss due to any digestive disorder ( 5.08), liver transplantation ( 5.09), We also use this body system to evaluate gastrointestinal hemorrhaging from any cause ( 5.02), Inflammatory bowel disease ( 5.06), and intestinal failure ( 5.07). (the large, muscular tube that extends from the mouth to the anus, where the movement of muscles, along with the release of hormones and enzymes, allows for the digestion of food) in this body system.Įxamples of these disorders and the listings we use to evaluate them include chronic liver disease ( 5.05), We evaluate digestive disorders that result in severe dysfunction of the liver, pancreas, and gastrointestinal tract Which digestive disorders do we evaluate in this body system? Pancreas transplantation 5.00 Digestive DisordersĪ. Weight loss due to any digestive disorder Gastrointestinal hemorrhaging from any cause, requiring three blood transfusions Category of Impairments, Digestive Disorders
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