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Evidence checklist

Hyperparathyroidism

DC 790438 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 or surgery evaluation and treatment recordsCritical

Records documenting diagnosis, surveillance, parathyroidectomy decision, and outcome.

Private provider · independent opinion
Nexus opinion linking hyperparathyroidism to service or radiation exposureCritical

Medical opinion connecting hyperparathyroidism to in-service radiation exposure (known risk factor) or other service connection.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
Serum calcium, PTH (intact), phosphorus, and vitamin D levelsCritical

Laboratory results documenting elevated calcium and elevated or inappropriately normal PTH consistent with primary hyperparathyroidism.

Imaging or lab facility · records request
Sestamibi scan or neck ultrasound identifying parathyroid adenoma

Nuclear medicine or ultrasound imaging used for surgical planning.

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 forBuddy statement builderGuided VA Form 21-10210

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