Disorders of the biliary tract may be associated with permanent impairment. Criteria for the impairment have been published by the American Medical Association (AMA).
Parameters:
(1) signs and symptoms of biliary disease
(2) biliary tract dysfunction and/or obstruction
Signs and symptoms:
(1) history of previous biliary tract or gallbladder surgery
(2) jaundice
(3) cholecystitis or biliary colic
(4) family history of a bilirubin metabolism disorder or hemolytic anemia
(5) pruritis
(6) bleeding
(7) fistula
Signs and Symptoms
Dysfunction and/or Obstruction
Impairment Whole Person
present
occasional episodes
0 - 14%
present
recurrent, irrespective of treatment
15 – 29%
present
irreparable obstruction with recurrent cholangitis (frequent)
30 – 49%
present
persistent with jaundice; progressive liver disease
50 – 95%
where:
• It might be useful to grade the severity of the signs and symptoms (mild, moderate or severe).
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