Respiratory Disorders

• Author: David A. Morton III
• Pages: 267-370

3-1

CHAPTER 3

Respiratory Disorders

Contents

Part I – Adults

§3.00 Respiratory Disorders

§3.01 Category of Impairments, Respiratory Disorders

§3.02 Chronic Respiratory Disorders

§3.03 Asthma

§3.04 Cystic Fibrosis

§3.05-06 (Reserved)

§3.07 Bronchiectasis

§3.08 (Reserved)

§3.09 Chronic Pulmonary Hypertension

§3.10 (Reserved)

§3.11 Lung Transplantation

§3.12-13 (Reserved)

§3.14 Respiratory Failure

Part II – Children

§103.00 Respiratory Disorders

§103.01 Category of Impairments, Respiratory Disorders

§103.02 Chronic Respiratory Disorders

§103.03 Asthma

§103.04 Cystic Fibrosis

§103.05 Lung Transplantation

§103.06 Growth Failure Due to Any Chronic Respiratory Disorder

§103.07-13 (Reserved)

§103.14 Respiratory Failure

Part III – Forms

 

§3.03F Asthma

§3.04F Cystic Fibrosis

§3.07F Bronchiectasis

§3.08F Chronic Persistent Lung Infection

§3.09F Cor Pulmonale Secondary to Chronic Pulmonary Vascular Hypertension

§3.10F Sleep-Related Breathing Disorders

§3.11F Lung Transplant

RESPIRATORY

DISORDERS

MEDICAL ISSUES IN SOCIAL SECURITY DISABILITY 3-2

Long Forms on Digital Access Only



§3.03F(L) Asthma

§3.04F(L) Cystic Fibrosis

§3.07F(L) Bronchiectasis

§3.08F(L) Chronic Persistent Lung Infection

§3.09F(L) Cor Pulmonale Secondary to Chronic Pulmonary Vascular Hypertension

§3.10F(L) Sleep-Related Breathing Disorders

§3.11F(L) Lung Transplant

RESPIRATORY

DISORDERS

3-3 RESPIRATORY DISORDERS §3.00

Form Reference:

See Forms 3.02, 3.03, 3.04, 3.07, 3.08, 3.09, 3.10,

3.11 to solicit treating source medical information rele-

vant to the above adult and corresponding child listings.

General Legal Text Cross-References:

Also see Bohr’s Social Security Issues Annotated



involving respiratory impairments.

Part I – Adults

§3.00 Respiratory Disorders

[The applicable Listing of Impairments introduces

each chapter. Author comments follow each Listing

subsection.]

SSA Listing of Impairments

A. Which disorders do we evaluate in this body system?

1. We evaluate respiratory disorders that result in

  

    

 

 

and the listings we use to evaluate them include chronic

obstructive pulmonary disease (chronic bronchitis and

-



and bronchiectasis (3.02 or 3.07). We also use listings in

this body system to evaluate respiratory failure (3.04D

or 3.14), chronic pulmonary hypertension (3.09), and

lung transplantation (3.11).



under the listings in 13.00. We evaluate the pulmonary

  

under these listings or under the listings in 11.00 or

14.00, respectively.

1

2 Wheezing refers to high-pitched sounds caused by air moving through narrowed airways. Narrowing can be produced by smooth muscle

contraction, mucus, infected material, airway collapse or combinations thereof. Many medical doctors, as well as nurses and respiratory therapists,

   

degree so that softer or subtle sounds would be missed. Most pulmonary specialists know better, but even some of them do the same thing.

3

Accessory muscles of respiration are any muscles other than the diaphragm or intercostal muscles between the ribs, which are the primary

muscles of breathing. Accessory muscles do not need to be recruited for normal respiration and that is not their main function, but can help move

air in advanced respiratory disorders. The main accessory muscles, the abdominal muscles and those in the neck (sternoclaidomastoid) can be seen

contracting in individuals struggling to breathe.

4 Normal resting breathing tends to be shallow at a rate of about 16 breaths/minute.

5



used are not dangerous.

B. What are the symptoms and signs of respiratory

disorders? Symptoms and signs of respiratory disor-

ders include dyspnea (shortness of breath)1, chest pain,

coughing, wheezing

2

, sputum production, hemoptysis

(coughing up blood from the respiratory tract), use of

accessory muscles of respiration3, and tachypnea (rapid

rate of breathing)4.

C. What abbreviations do we use in this body system?

1. ABG means arterial blood gas.

2. BiPAP means bi-level positive airway pressure ventilation.

3. BTPS means body temperature and ambient pressure,

saturated with water vapor.

4. CF

5. CFRD means CF-related diabetes.

6. CFTR means CF transmembrane conductance

regulator.

7. CO

8. COPD means chronic obstructive pulmonary disease.

9. DLCO

5

10. FEV1



11. FVC means forced vital capacity.

12. L means liter.

13. mL CO (STPD)/min/mmHg means milliliters of



dry, per minute, per millimeter of mercury.

RESPIRATORY

DISORDERS