TN 15 (01-15)

DI 22510.045 Pediatric Consultative Examination (CE) Report Content Guidelines for Endocrine Disorders

Specific requirements exist in addition to all general pediatric guidelines in DI 22510.035.

A. Diabetes Mellitus (DM)

Below are the specific requirements for DM.

1. History

The history should include:

  • Type of DM;

  • DM symptoms, such as unexplained weight loss, fatigue or drowsiness, and blurred vision;

  • Symptoms and signs of hyperglycemia, such as frequent urination, increased thirst, blurred vision, headaches, difficulty concentrating, abdominal pain or nausea, and ‘‘fruity-smelling’’ breath;

  • Symptoms and signs of hypoglycemia, such as weakness, hunger, sweating, trembling, nervousness, palpitations, difficulty with concentration, inattention, fainting, falling asleep at inappropriate times, unexplained behavior, and temper tantrums;

  • Frequency of episodes of hypoglycemia, and ability to recognize and respond to hypoglycemia symptoms;

  • Evidence of hypoglycemia unawareness; and

  • Evidence of effects of DM, such as growth impairments, gastroparesis and ischemic bowel disease, and cognitive impairments, with reference to the involved body system.

2. Treatment

The description of treatment should include:

  • Insulin dosage; and

  • The amount of assistance and supervision necessary for the child to maintain blood glucose levels using insulin.

B. Endocrine Disorders other than DM

Below are the specific requirements for pituitary gland, thyroid gland, parathyroid gland, adrenal gland, and gonadal disorders.

1. History

The history should include:

  • Growth failure or weight loss related to the endocrine disorder;

  • Evidence of effects of the endocrine disorder in other body systems; and

  • Any surgical procedures including dates.

2. Treatment

The description of treatment should include:

  • Any hormone replacement or suppression therapy; and

  • Need for, and frequency of, adjustments to treatment plan.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0422510045
DI 22510.045 - Pediatric Consultative Examination (CE) Report Content Guidelines for Endocrine Disorders - 01/14/2015
Batch run: 01/14/2015
Rev:01/14/2015