Evidence checklist
Autonomic Neuropathy
Evidence strength
Mark what you already have below and your evidence strength appears here.
Specialist opinion
Highest value0 of 3 collectedQuantitative sudomotor axon reflex test (QSART), deep breathing cardiovagal test, Valsalva ratio, and head-up tilt-table test documenting the pattern and severity of autonomic failure.
Not marked
Evaluation documenting orthostatic hypotension, cardiac autonomic dysfunction, sudomotor dysfunction, gastrointestinal dysmotility, bladder dysfunction, or sexual dysfunction attributable to autonomic neuropathy.
Not marked
Medical opinion connecting autonomic neuropathy to service-connected diabetes mellitus, Guillain-Barre syndrome, or other causative service-connected condition.
Not marked
Treatment records
0 of 2 collectedSerial lying-standing or tilt-table blood pressure readings documenting the degree of orthostatic hypotension (fall of 20 mmHg systolic or 10 mmHg diastolic on standing).
Not marked
Records of medications and supportive measures for autonomic dysfunction, documenting the refractory or controlled nature of symptoms.
Not marked
Lay statements
0 of 2 collectedA written statement from someone who can describe observable symptoms and how your condition affects daily life.
Not marked
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Not marked
Benefits questionnaire
0 of 1 collectedVA standardized form capturing the extent of autonomic dysfunction affecting multiple organ systems for rating under peripheral nerve diagnostic codes.
Not marked
Service records
0 of 1 collectedMilitary medical records showing in-service treatment, complaints, or injuries related to this condition.
Not marked
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