SOP Bulletin No. 51

4 — th Floor AMP Place, 10 Eagle St Brisbane  3 — rd Floor Blackburn House, 199 Grenfell St Adelaide

Intranet site:  http://intranet/nat/comp/dp/Nop/dsu/dsudefault.htm

20 August 2001

THE FOLLOWING RMA SOPS ARE TO BE GAZETTED ON 22 August, 2001

IMPORTANT OPERATIONAL FEATURES

• SOPs for this rare condition have been developed as a result of an RMA investigation.  This diagnosis requires histological examination of kidney tissue.

• The SOPs do not cover all glomerulonephritis, only the Mesangial IGA type.

• The alcohol factors now have time requirements and new alcohol quantities, which are different for RH and BOP.

• The pancreatic duct factor has been reworded, and there is no longer an associated definition.

• The latency period for the therapeutic radiation factor has been lengthened from one to 5 years (RH & BOP).

• There are new causal factors for:

• Hyperparathyroidism;
• Acute pancreatitis (RH only).

• The pneumonia causal factor has been changed to require respiratory symptoms in the interval between pneumonia and bronchiectasis in the RH SOP, and to delete the requirement for “no contrary evidence” in the BOP SOP.

• The pneumonia worsening factor has also been changed by including a one year time limit.

• The previous factor for toxic gases or fumes has been split in two with mustard gas now a separate factor with no time limit.

• The requirement for evidence of pneumonia or pneumonitis has been removed from the gastric aspiration factor.

• There are new ca — u — sal and aggravating factors for collapse or fibrosis of a segment of lung.

• This SOP replaces those for Congenital Pes Planus and Acquired Pes Planus.  The causal factors apply to acquired pes planus only, and the aggravating factors to both.

• The new definition of Congenital Pes Planus specifies that the condition may be evident from birth, but usually becomes manifest in the first or second decade of life.

• There are now two trauma factors.  The first describes fractures, subluxation or dislocation of one or more of the tarsal or tarsometatarsal joints.  The second requires a discrete ligamentous, muscular or tendon injury resulting in instability of one or more of those joints.

• The peripheral neuropathy factor has been replaced by two factors.  The first describes weakness or paralysis of the supinators of the foot.  The second describes tightening of the pronators of the foot.  The associated definitions gives definitive lists of the conditions which cause these problems.

• The arthritis factor has been reworded to include arthritis or other destructive lesions of one of more of the tarsal or tarso-metatarsal joints of the affected foot.

• There are new ca — u — sal and aggravating factors for:

• rupture or division of the plantar fascia;
• a space occupying lesion limiting the ability of the affected foot to supinate;

• being obese (RH only).

Remember:

If you are having any problems with SOPs, or SOPs in CCPS

TALK TO US!

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