Evidence Checklist: Hyperparathyroidism

Endocrinology or surgery evaluation and treatment recordsCritical

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

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.

Serum calcium, PTH (intact), phosphorus, and vitamin D levelsCritical

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

Sestamibi scan or neck ultrasound identifying parathyroid adenoma

Nuclear medicine or ultrasound imaging used for surgical planning.

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.

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.

Service treatment records (STRs)Critical

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