External
Repatriation Medical Authority Statement

Anal fissure - Inability to obtain appropriate clinical management for anal fissure Factor

Last reviewed for CCPS 30 June 1999.

Investigative Documents

Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM]

Preliminary questions [17536]

17580

there is some evidence that an inability to obtain appropriate clinical management for anal fissure may be a factor in the worsening of the condition under consideration.

17539 the clinical onset of the veteran's anal fissure occurred after the end of the veteran's last period of VEA service.

17540

the veteran's anal fissure permanently worsened.

17581

the veteran was unable to obtain appropriate clinical management for anal fissure at some time.

17582 the inability to obtain appropriate clinical management for anal fissure contributed to the clinical worsening of anal fissure.

17584the veteran has established the causal connection between the inability to obtain appropriate clinical management for anal fissure and VEA service for the clinical worsening of anal fissure.

17585the veteran has established the causal connection between the inability to obtain appropriate clinical management for anal fissure and operational service for the clinical worsening of anal fissure.

or

17586the veteran has established the causal connection between the inability to obtain appropriate clinical management for anal fissure and eligible service for the clinical worsening of anal fissure.

Clinical worsening and operational service [17585]

17587

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, during operational service.

17588

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, during operational service, as a causal result of operational service duties.

17589

the veteran's inability to obtain appropriate clinical management for anal fissure during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

17590

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, because of an illness or injury which is identifiable.

17591the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for anal fissure is causally related to operational service.

17592

the clinical onset of anal fissure occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for anal fissure is causally related.

Clinical worsening and eligible service [17586]

17593

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, during eligible service.

17594

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, during eligible service, as a causal result of eligible service duties.

17595

the veteran's inability to obtain appropriate clinical management for anal fissure during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

17590

the veteran was unable to obtain appropriate clinical management for anal fissure, which contributed to the clinical worsening of anal fissure, because of an illness or injury which is identifiable.

17596the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for anal fissure is causally related to eligible service.

17597

the clinical onset of anal fissure occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for anal fissure is causally related.