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MANUAL SINGLE NATIONAL DISABILITY (PART I OF II) CHAPTER VI 6. Genital and urinary systems 6.1 General This chapter defines the criteria for assessing the deficiencies in the body of persons on the permanent damage caused by diseases of the genital system, urinary, or both. The analysis of this system includes the upper urinary tract, bladder, urethra, male genitalia and female genitalia. It requires an observation period of at least one year after the transplant to reasonably determine whether the patient has reached the desired point and steady improvement. 6.2.1. Evaluation criteria for the deficiency of upper urinary tract. TABLE No. 6.1: CRITERIA FOR THE ASSESSMENT OF GLOBAL GAP FOR UPPER URINARY TRACT PATHOLOGY Class Description of criteria Global Deficit (%) I · There is a decrease of the upper urinary tract function defined by a creatinine clearance 75 to 90 litros/24 hours (between 52-62.5 ml / min.) And has a Fenolsulfonoftaleí

MANUAL SINGLE NATIONAL DISABILITY (PART I OF II) CHAPTER V 5. DIGESTIVE 5.1 General The criterion for evaluating the gastrointestinal tract is based on the effects of the permanent injury can have on the individual's ability to perform tasks of daily life. The findings of the assessors should be compatible with the patient's physical condition and corroborated by aid diagnostic tests. The irrecoverable of these diseases are usually shown after prolonged observation and treatment. Many of these tests are difficult or impossible to repeat or perform, either because they are expensive, there are many, difficult to perform correctly, for example, Van de Rim to determine steatorrhea, or biopsies of intra- abdominal organs. This difficulty can be supplemented, if alternatives are given the following evidence: a) Consistency, coherence and commonality between the clinical and physical examination provided objective documentation. b) Time evolutio

MANUAL SINGLE NATIONAL DISABILITY (PART I OF II) CHAPTER IV 4. RESPIRATORY 4.1 General The purpose of this chapter is to conduct the evaluation of permanent impairment of the respiratory system and its effects on individual performance. It must be remembered that this type of chronic dysfunction is not static, but it may instead be a manifestation of changing processes, so that should make periodic assessments as the natural history of the disease diagnosed. The quantified lung dysfunction does not correlate directly with the extent, severity or anatomical tissue injury or the symptoms. Therefore, the classification of the deficiency be made based on the criteria in this chapter. Chronic respiratory failure is considered when the barometric  pressure of arterial oxygen  (PO2) is less than 60mm Hg, with or without elevated blood barometric pressure of carbon dioxide (PCO2) greater than 45 mm Hg. In this case, it is an advanced condition o

MANUAL SINGLE NATIONAL DISABILITY (PART I OF II) CHAPTER III 3. RHEUMATOLOGY 3.1 GENERAL The rheumatic diseases discussed in this chapter, mainly undertake the associated musculoskeletal or parenchymal involvement from other organs or systems, such as the kidney, lung, heart, central and peripheral nervous system, whose deficiencies should be evaluated in the respective chapters each of them. The various shortcomings of the locomotor system will be analyzed carefully considering the following: 1. Pathology. 2. Medical-surgical therapy applied. 3. Program of physical medicine and rehabilitation 4. Time course of the disease and possible recovery. 5. Degree of permanent functional impairment. 3.1.1 Classification of rheumatic diseases While the International Classification of rheumatic diseases makes specific distinctions, for practical purposes can be grouped into four main types of pathologies. 1. Inflammatory. 2. Degenerative di