Ischaemic heart disease - Chronic renal disease Factor
Definition
Chronic renal disease means renal injury of a sustained nature that is not reversible and leads to destruction of nephron mass and is associated with a demonstrable functional abnormality of the kidney which raises the level of creatinine. It can result from any cause of renal dysfunction of sufficient magnitude.
Signs and symptoms
Patients with mildly impaired renal function are asymptomatic. Mild to moderate renal insufficiency produces vague symptoms such as nocturia, lassitude, fatigue and decreased mental acuity. Neuromuscular features include muscular twitches, muscle cramps and convulsions. Anorexia, nausea, vomiting, stomatitis and an unpleasant taste in the mouth are nearly always present as the disease progresses. Hypertension is a feature of the advanced disease.
Establishing onset
This condition should have been specifically diagnosed if renal function tests were undertaken. However, such tests may not have been undertaken or doctors' notes and/or hospital records may have been destroyed or can no longer be obtained. Therefore, if the veteran or member gives a history of chronic renal disease at a particular time and relevant medical notes cannot be obtained, you should seek medical advice to decide whether the claimed symptoms and treatment at that time can be attributed to chronic renal disease or to some other condition.
Last reviewed for CCPS 27 April 2010.
Preliminary questions [9173]
32457 there is some evidence that chronic renal disease may be a factor in the development or worsening of the condition under consideration.
32471 the veteran has chronic renal disease.
9222 the veteran has established the causal connection between the chronic renal disease and VEA service for ischaemic heart disease.
32459 the veteran had chronic renal disease before the clinical onset of the condition under consideration.
9223 the veteran has established the causal connection between the chronic renal disease and VEA service for the clinical onset of ischaemic heart disease.
9225 the veteran has established the causal connection between the chronic renal disease and operational service for the clinical onset of ischaemic heart disease.
or
9226 the veteran has established the causal connection between the chronic renal disease and eligible service for the clinical onset of ischaemic heart disease.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
32461 the veteran had chronic renal disease before the clinical worsening of the condition under consideration.
9224 the veteran has established the causal connection between the chronic renal disease and VEA service for the clinical worsening of ischaemic heart disease.
9227 the veteran has established the causal connection between the chronic renal disease and operational service for the clinical worsening of ischaemic heart disease.
or
9228 the veteran has established the causal connection between the chronic renal failure and eligible service for the clinical worsening of ischaemic heart disease.
Clinical onset and operational service [9225]
32467 the chronic renal disease is causally related to operational service.
Clinical onset and eligible service [9226]
32468 the chronic renal disease is causally related to eligible service.
Clinical worsening and operational service [9227]
32467 the chronic renal disease is causally related to operational service.
32469 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the chronic renal disease is causally related.
Clinical worsening and eligible service [9228]
32468 the chronic renal disease is causally related to eligible service.
32470 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the chronic renal disease is causally related.