Chapter 16 - Genitourinary Conditions
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16.01 - Nephrolithiasis
- History of stone, no evidence of recent disability. Kidney tests normal: Assessment nil.
- Recurrent episodes of stones but kidney function normal: Assessment 5- 10%.
- If hydronephrosis, obstruction, recurrent infection: Assessment 10- 20%.
- Post- op removal calculi: Assessment minimum 5%.
16.02 - Loss of One Kidney
- Without symptoms and no apparent disability in the remaining kidney: Assessment 15%
- If disability in 2nd kidney, assess as per Table to 16.01, 16.02, 16.03, and 16.04; may need consequential or paired organ ruling.
16.03 - Dialysis
- for bilateral pensionable kidney disease: Assessment 100%
- When loss of pensionable kidney - 15%, and renal failure entitlement under 36: Assessment 50% (½ x 100%). Total Assessment 15% + 50% = 65%.
16.04 - Renal Transplant
Continue assessment at 65% or 100% as per above dialysis. Hazard of rejection with need for special monitoring and drugs after discharge from hospital warrants continued assessment. Review every 6 months. If renal function improved and doing well, may reduce 10% per visit to minimum of 25% to 60% (as the case may be: 36 or fully).
16.05 - Assessment of Permanent Impotence
16.06 - Assessment of Sterility
Bilateral Loss of Testicle from Injury (60%)
Loss of One Testicle from Injury (5%)
Segmental Resection (5%)
Simple Mastectomy (10%)
Radical Mastectomy (20%)
Loss of Both Ovaries (60%)
Loss of One Ovary (5%)
Childbearing Years (20%)
Post Menopausal (5%)
Benign Prostatic Hypertrophy: (0-5%)
If operated and complications with sphincter control or impotence (5-10%)
|Table 16.01, 16.02, 16.03, and 16.04 Assessment of Renal Disease (other than T. B.)|
|Assessment||History of Nephritis||Urine||Laborator Y Tests, Bun, Creatinine Clearance, etc.||Edema||Diet||Work||Backache, Headache, Dyspnea, Fatigue||B. P.|
|10%||Recent||Trace Alb.||Normal||Occasional Mild||Mild Restriction||Normal||Mild||Normal|
|20-30%||Current||Definite Alb. Casts||Normal||Mild||Restricted||Avoid Heavy||Slight||Slight|
|30-60%||Definite Renal Disease||Marked Alb.||Abnormal||Moderate||Restricted||Light||Moderate||BP 170/110|
|60-100%||Definite Renal Disease||Marked Alb. Casts Urine Output||Grossly Abnormal||Marked||Marked||No||Marked with Blurred Vision, Dizziness||BP 200 120|
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