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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 49 Chapter 13 Determining Disability, Incapacity, and Blindness

• Bronchial asthma with recurrent intense attacks, or persistent prolonged wheezing and x-ray findings of bronchial disease. • Cystic Fibrosis with poor response to treatment, diagnosed by specific laboratory tests. B.4 CARDIOVASCULAR IMPAIRMENTS This includes congenital or acquired heart disease, involving the arteries, valves, or cardiac muscles, as established by a cardiologist or pediatrician. The following are examples of cardiovascular impairments that would result in a presumptive medical approval: • Chronic congestive heart failure with tachycardia and cardiac enlargement, or retention of pulmonary fluid and intolerance for exercise. • Cyanotic congenital heart disease requiring surgery, with symptoms of dizziness, bloody sputum, and bluish discoloration of the skin. • Cardiac arrhythmia, such as persistent or recurrent heart block and symptoms, such as exercise intolerance or pulmonary hypertension. • Chronic rheumatic fever with heart enlargement and significant heart murmur. B.5 DISORDERS OF THE DIGESTIVE SYSTEM These may interfere with nutrition and growth of the child and are disabling, if treatment may be expected to extend to a 12-month period. The following are examples of disorders of the digestive system that would result in a presumptive medical approval: • Chronic liver disease with destruction of the liver, or coma. • Chronic bowel disease such as ulcerative colitis or regional enteritis. B.6 URINARY DISORDERS This must be evaluated by a pediatrician or urologist. The following are examples of urinary disorders that would result in a presumptive medical approval: • Chronic renal disease resulting in the need for treatment over a 12-month period, or loss of one kidney and disease in the remaining kidney.