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Evidence checklist

Cushing's Syndrome

DC 790738 CFR § 4.119Endocrine

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Endocrinology evaluation and treatment recordsCritical

Records documenting the cause (pituitary, adrenal, ectopic ACTH, exogenous steroid use), treatment, and outcome.

Private provider · independent opinion
Nexus opinion linking Cushing's to service or prolonged steroid use for SC conditionCritical

Medical opinion connecting Cushing's syndrome to service, including iatrogenic Cushing's from long-term steroid therapy for a service-connected condition.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
Cortisol testing: 24-hr UFC, late-night salivary cortisol, dexamethasone suppression testCritical

Laboratory workup confirming hypercortisolism. Multiple tests are typically needed for diagnosis per Endocrine Society guidelines.

Imaging or lab facility · records request
Pituitary MRI and adrenal CT results

Imaging to identify pituitary adenoma or adrenal source of excess cortisol.

Imaging or lab facility · records request
03

Lay statements

0 of 2 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 →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

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
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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