Hyponatremia Case Studies

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All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a female (DOB 02/1954) who was diagnosed with hypokalemia, hyponatremia, an abnormal thyroid function test, leukopenia, essential hypertension, balance problem, rib pain, intervertebral disc disorder with radiculopathy in the lumbar region, complete partial seizure of uncertain origin, constipation, renal artery stenosis, sarcoidosis, and depression. A recommendation for short-term disability benefits from 06/15/2017 through 08/28/2017 is being evaluated based on documentation submitted by the treating physician. The claimant’s occupation is listed as a Customer Service Representative and her essential job functions …show more content…

Based on the documentation submitted, from 06/15/2017 through 07/04/2017 and 07/07/2017 through 08/28/2017, the claimant does not have functional impairments. As it relates to hypertension, fatigue, and hyponatremia, according to the provider, the physical findings were suggestive of a cerebrovascular disease affecting the left hemisphere which was a complication of her hypertension. However, there was insufficient objective evidence to substantiate a severe functional impairment during the period of review. Although she had an elevated blood pressure measurement (ranged from 152/90 to 190/110 mmHg), the report dated 07/19/2017 stated that she was feeling better overall. Her laboratory testing dated 08/04/2017 were within normal limits and the appropriate conservative options were provided (Amlodipine, Apresoline,Clonidine, Aspirin). As it relates to her hyperglycemia, the most recent laboratory testing revealed a glucose level of 88 (normal). As it relates to osteopenia, the Bone Density test only revealed mild bone thinning and according to the provider, her calcium level was just slightly elevated. As such, the claimant is not considered disabled from 06/15/2017 through 07/04/2017 and 07/07/2017 through 08/28/2017, strictly from the perspective of Internal

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