|
Pacemaker | ||||
|
|
Due to congenital heart block, sick sinus syndrome, no other cardiac abnormalities, best cases only |
| ||
|
|
|
0-1 yr |
PP | |
|
|
|
1-3 yr |
T4-T6 | |
|
|
|
3 yr and up |
T2-T4 | |
|
|
Due to atrial fib, complete heart block, etc. |
IC, T6 to Decline | ||
|
|
|
|
| |
|
Pancreatitis – Inflammation of the pancreas. | ||||
|
|
Due to gallbladder disease |
| ||
|
|
|
Gallbladder removed, complete recovery, no sequelae |
| |
|
|
|
|
0-1 yr |
PP |
|
|
|
|
Over 1 yr |
0 |
|
|
|
Gallbladder not removed |
Decline | |
|
|
Due to cause other than gallbladder disease and no alcohol abuse |
| ||
|
|
|
Single episode, resolved without sequelae |
| |
|
|
|
|
0-1 yr |
PP |
|
|
|
|
Over 1 yr |
T3-Decline |
|
|
|
More than one episode or with remaining impairment or symptoms |
Decline | |
|
|
Acute pancreatitis due to alcohol abuse |
Decline | ||
|
|
Chronic pancreatitis |
| ||
|
|
|
All cases |
Decline | |
|
|
|
| ||
|
Pap Smear | ||||
|
|
Class I or II |
0 | ||
|
|
Class III (CIN 1-II) |
PP until next Pap Smear | ||
|
|
Class IV (CIN III-CIS) or Class V |
| ||
|
|
|
(Squamous cell carcinoma), surgically treated (LEEP, colposcopy, conization, hysterectomy) |
IC | |
|
|
|
|
|
|
|
Paralysis, Paraplegia – Loss, in varying degrees, of the voluntary ability of muscles to contract. | ||||
|
|
Hemiplegia, 1 yr and up |
IC, RFC | ||
|
|
Paraplegia, 1 yr and up, normal bladder and/or bowel functioning |
T2-T4 | ||
|
|
|
Others |
T6-Decline | |
|
|
Quadriplegia, quadriparesis |
Trial, Us Decline | ||
|
|
Hemiparesis |
| ||
|
|
|
Self-supporting, working full-time, normal bowel and/ or bladder |
| |
|
|
|
|
0-1 yr from onset |
Decline |
|
|
|
|
Over 3 yr |
IC, RFC |
|
|
Paraparesis |
| ||
|
|
|
Bladder and bowel function under good control, self-supporting, working full-time |
| |
|
|
|
|
0-3 yr |
Decline |
|
|
|
|
Over 3 yr |
T4-T6 |
|
|
|
|
Others |
Decline |
|
|
|
| ||
|
Parkinson’s Disease | ||||
|
|
Mild, slowly progressive, depending on age of onset |
T2-T4 | ||
|
|
Severe, rapidly progressive, falls, mental deterioration, depression |
Decline | ||
|
|
Drug induced, full recovery |
IC | ||
|
|
|
|
|
|
|
Peptic Ulcer – See Ulcer | ||||
|
|
|
|
| |
|
Peripheral Vascular Disease | ||||
|
|
No surgery |
| ||
|
|
|
Within 1 yr from diagnosis and/or symptoms |
PP | |
|
|
|
Over 1 year, mild, stable, not worsening |
T2-T8 | |
|
|
|
Others |
Decline | |
|
|
Surgical repair |
| ||
|
|
|
Within 1 yr |
PP | |
|
|
|
1-2 yr |
T6 | |
|
|
|
2-3 yr |
T4-T6 | |
|
|
|
3-5 yr |
T2-T4 | |
|
|
|
Symptoms after surgery |
T8-Decline | |
|
|
|
Other factors |
| |
|
|
|
|
Smoker |
Add 2 more Tables |
|
|
|
|
Diabetic |
Add Diabetes rate, if over T8, Decline |
|
|
|
|
Other cardiovascular impairments |
IC-Decline |
|
|
|
|
| |
|
Peritonitis | ||||
|
|
Present |
Decline | ||
|
|
In history |
IC | ||
|
|
|
|
|
|
|
Phlebitis | ||||
|
|
Single attack, full recovery |
Us 0 | ||
|
|
Others |
IC | ||
|
|
|
|
|
|
|
Pleurisy – Inflammation of the pleura that covers the lung surface and inner chest wall. | ||||
|
|
Present |
Decline | ||
|
|
In history |
| ||
|
|
|
Cause known |
RFC | |
|
|
|
Cause unknown |
| |
|
|
|
Single attack |
| |
|
|
|
|
0-6 mo |
PP |
|
|
|
|
6 mo to 1 yr |
T2-T4 |
|
|
|
|
1 yr and up |
|
|
|
|
More than one attack |
IC | |
|
|
|
|
|
|
|
Pneumonia | ||||
|
|
Present |
PP | ||
|
|
In history |
| ||
|
|
|
Single episode |
0 | |
|
|
|
Multiple episodes, depending on cause |
IC | |
|
|
|
|
| |
|
Pneumothorax | ||||
|
|
Traumatic |
| ||
|
|
|
Present |
PP | |
|
|
|
In history |
| |
|
|
|
|
Complete resolution |
Us |
|
|
Spontaneous |
| ||
|
|
|
Present |
PP | |
|
|
|
In history |
| |
|
|
|
|
Single attack, complete resolution |
Us 0 |
|
|
|
|
More than one attack |
IC |
|
|
|
|
|
|
|
Poliomyelitis | ||||
|
|
Present |
Decline | ||
|
|
In history |
| ||
|
|
|
0-3 yr |
PP | |
|
|
|
Over 3 yr |
| |
|
|
|
Extent of residual disability |
| |
|
|
|
|
None |
Us 0 |
|
|
|
|
Minimal, mild deformity or weakness |
0-T2 |
|
|
|
|
Moderate but functional (impairment of one or more limbs and/or ambulatory), assistance device required |
Us T2 |
|
|
|
|
Marked deformity, wheelchair used |
T2 and Up |
|
|
|
|
With bowel and/or bladder impairment |
T4-Decline |
|
|
|
|
Post-Polio syndrome |
Add 2 tables to above |
|
|
|
|
|
|
|
Pregnancy | ||||
|
|
In last trimester |
PP | ||
|
|
Others, currently pregnant, no prior complications or no complications expected |
0 | ||
|
|
If prior pregnancy was complicated |
IC | ||
|
|
|
|
| |
|
Prostate Disorders | ||||
|
|
Abscess |
| ||
|
|
|
Present, fully evaluated |
T2 and Up | |
|
|
|
In history |
| |
|
|
|
|
Single attack, complete recovery |
US 0 |
|
|
|
|
Chronic |
IC |
|
|
Prostatis |
| ||
|
|
|
Present, fully evaluated |
| |
|
|
|
|
To age 65 |
Us 0 |
|
|
|
|
Age 65 and up, normal urinalysis |
Us 0 |
|
|
|
|
Abnormal urinalysis |
IC, T2 and Up |
|
|
|
No urological evaluation |
PP | |
|
|
Benign Prostatic Hypertrophy (BPH) |
| ||
|
|
Benign Prostatic Hypertrophy (BPH) |
| ||
|
|
|
Present, no symptoms or complications, no indication of malignancy, PSA in normal range |
| |
|
|
|
|
Slight enlargement, minimal, if any, symptoms |
Us 0 |
|
|
|
|
Moderate enlargement and/or moderate symptoms, not increasing in frequency |
T2-T4 |
|
|
|
Severe enlargement and/or severe symptoms or increasing frequency |
Us PP | |
|
|
|
|
Surgical treatment contemplated or planned |
PP |
|
|
|
|
Biopsy completed, benign report, normal urinalysis and PSA |
0 |
|
|
|
Elevated or elevating PSA |
PP | |
|
|
Malignant, varies with state, pathology |
IC, rated to Decline | ||
|
|
|
|
|
|
|
Psoriasis | ||||
|
|
Mild – moderate |
Us 0 | ||
|
|
Severe or treated with methotrexate, normal liver function tests |
0-T2-T4 | ||
|
|
|
With elevated liver function tests |
IC | |
|
|
|
|
| |
|
Psoriatic Arthritis | ||||
|
|
With gold, steroid or methotrexate treatment, good follow-up |
T2-T4 | ||
|
|
|
| ||
|
|
Anxiety disorders |
| ||
|
|
Generalized |
| ||
|
|
|
Mild, no alcohol or drug abuse, stable |
| |
|
|
|
|
0-2 yr |
0-T2 |
|
|
|
|
2 yr and up |
Us 0 |
|
|
|
Moderate, history of hospitalization, mild functional impairment |
| |
|
|
|
|
Within 6 mo |
PP |
|
|
|
|
6 mo – 1 yr |
T6-Decline |
|
|
|
|
1-2 yr |
T6 and Up |
|
|
|
|
2 yr and up |
T4 and Up |
|
|
Additional considerations |
| ||
|
|
|
Alcohol, drug use, recurrent hospitalizations, unstable lifestyle |
Us Decline | |
|
|
Depression |
| ||
|
|
|
Mild, no loss of time from work, rapidly improving |
| |
|
|
|
|
0-2 yr |
0-T2 |
|
|
|
|
2 yrs and up |
Us 0 |
|
|
|
Moderate, minimal time loss from work, suicidal thoughts |
| |
|
|
|
|
Within 1 yr |
PP |
|
|
|
|
1-5 yr |
IC, T2-T6 and Up |
|
|
|
Severe, impaired functional state, suicide attempts, multiple relapses |
Us Decline | |
|
|
Psychosis |
| ||
|
|
|
Schizophrenia, paranoia, electroconvulsive therapy, manic depression, etc. |
| |
|
|
|
|
0-5 yr |
IC-T8-Decline |
|
|
|
|
Over 5 yr |
T4 and Up |
|
|
|
|
| |
|
Pyelitis – See Kidney Disease/Disorder | ||||
|
|
|
|
| |
|
Pylonephrosis, Pyelonephritis – See Kidney Disease/Disorder | ||||