It is important that the doctors check the box indicating the Service Medical Records (SMR) have been reviewed. A nexus statement connecting the military service to the medical condition must also be written in the remarks.
In the example below, a serviceman loses his pituitary by being exposed to radiation or chemicals in an industrial environment. Hypopituitraims is the primary condition, but the vet could also lose adrenal, thyroid and sexual function. Hypopituitarism cal also cause anosmia (loss of sense of smell ) and diabetes insipidus. All of the latter are secondary conditions.
- Immune deficiency
- Coin lesion (chest x-ray)
- Coombs positive, direct
- Leucoerythroblastic anaemia
- Lacrimal gland enlarged
- Red cell production reduced
- Peripheral demyelination
- ESR raised
- Mediastinal enlargement
- Autoimmune haemolytic anaemia, warm antibody
- Erythema nodosum
- Pyoderma gangrenosum
- Cold agglutinins
- Renal metastases
- Abdominal mass
- Peripheral neuropathy
- Orbital mass
"When service connection is thus established for a secondary condition, the secondary condition shall be considered a part of the original condition."
A link between the secondary condition and an already service connected condition
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