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Evidence checklist

Chronic Pyelonephritis (Chronic Kidney Infection)

DC 750438 CFR § 4.115a-4.115bGenitourinary

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 1 collected
Nexus opinion linking chronic pyelonephritis to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your chronic pyelonephritis is connected to your military service, including connection to service-connected UTIs or urinary obstruction.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Renal function labs (BUN, creatinine, GFR)Critical

Laboratory results documenting kidney function, including blood urea nitrogen, creatinine, and glomerular filtration rate, which are critical for determining the rating level.

Your treating provider · written request
03

Treatment records

0 of 4 collected
Urine cultures documenting recurrent kidney infectionsCritical

Laboratory results showing a pattern of recurrent kidney infections with positive cultures and sensitivity results.

VA or private records · written request
Imaging showing kidney changes

Renal ultrasound, CT scan, or other imaging showing structural kidney changes such as scarring, cortical thinning, or hydronephrosis resulting from chronic infection.

VA or private records · written request
Documentation connecting to service-connected UTIs or urinary obstruction

Medical records establishing a link between chronic pyelonephritis and a previously service-connected urinary condition.

VA or private records · written request
Treatment records (antibiotics, hospitalization)

Records showing antibiotic treatment history, any hospitalizations for acute episodes, and ongoing management.

VA or private records · written request
04

Lay statements

0 of 1 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Kidney and Urinary Tract ConditionsCritical

Standardized form capturing renal function, infection history, and voiding dysfunction.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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