Reasonable Hypothesis SOP [1] | 59 of 2019 |
Balance of Probabilities SOP [2] | 60 of 2019 |
SOP Bulletin 208 [3]
Gout is a urate crystal deposition disease that can manifest as a recurrent acute arthritis, usually involving a single joint, with asymptomatic periods between attacks. It may also manifest as chronic tophaceous gout, with arthropathy and deposition of solid urate in connective tissues, and associated inflammation and tissue destruction.
Diagnosis is based on a combination of clinical, laboratory and imaging findings. In the case of acute gout this should include analysis of joint fluid for the presence of urate crystals. The diagnosis can be made by a general practitioner.
The relevant medical specialist is a rheumatologist.
# Non-SOP condition
Clinical onset will generally correspond with a first acute arthritis episode, subsequently confirmed to be due to gout.
Gout can be successfully managed with medications and lifestyle changes directed at lowering urate levels. Treament can significantly reduce the development of chronic gouty arthritis and tophaceous gout. Progression of disease may indicate non-compliance with treatment.
Place holder node for Rulebase for gout
Gout - Active systemic leukaemia Factor
Last reviewed for CCPS 01 June 2000.
Preliminary questions [7630]
7646 [5] there is some evidence that active systemic leukaemia may be a factor in the development or worsening of the condition under consideration.
5602 [5] the veteran has suffered from active systemic leukaemia at some time.
7631 — the veteran has suffered from an identifiable type of active systemic leukaemia. [Default true]
7632 — the veteran has established the causal connection between the active systemic leukaemia and VEA service for gout.
7639 [6] the veteran suffered from the identified illness or injury, an active systemic leukaemia, within the 180 days immediately before the clinical onset of the condition under consideration. 7633 — the veteran has established the causal connection between the active systemic leukaemia and VEA service for the clinical onset of gout. 7635 — the veteran has established the causal connection between the active systemic leukaemia and operational service for the clinical onset of gout. or 7636 — the veteran has established the causal connection between the active systemic leukaemia and eligible service for the clinical onset of gout. or 7634 — the veteran has established the causal connection between the active systemic leukaemia and VEA service for the clinical worsening of gout. 7637 — the veteran has established the causal connection between the active systemic leukaemia and operational service for the clinical worsening of gout. or 7638 — the veteran has established the causal connection between the active systemic leukaemia and eligible service for the clinical worsening of gout. Clinical onset and operational service [7635] 7640 — the identified illness or injury, an active systemic leukaemia, is causally related to operational service. [10] [11] Clinical onset and eligible service [7636] 7641 — the identified illness or injury, an active systemic leukaemia, is causally related to eligible service. [12] [11] Clinical worsening and operational service [7637] 7640 — the identified illness or injury, an active systemic leukaemia, is causally related to operational service. [13] [11] Clinical worsening and eligible service [7638] 7641 — the identified illness or injury, an active systemic leukaemia, is causally related to eligible service. [15] [11]
Gout - Alcohol consumption Factor
Last reviewed for CCPS 01 June 2000.
Investigative Documents
Claimant Report - Alcohol Consumption [CRD904] [18] Claimant Report - Alcohol Consumption [CRV904] [19] Medical Report - Alcohol Consumption [MR9164] Preliminary questions [30079] 30081 — the veteran has established the causal connection between the alcohol consumption and VEA service for gout. 30083 — the veteran has established the causal connection between the alcohol consumption and VEA service for the clinical onset of gout. 30086 — the veteran has established the causal connection between the alcohol consumption and operational service for the clinical onset of gout. or 30087 — the veteran has established the causal connection between the alcohol consumption and eligible service for the clinical onset of gout. or 30085 — the veteran has established the causal connection between the alcohol consumption and VEA service for the clinical worsening of gout. 30088 — the veteran has established the causal connection between the alcohol consumption and operational service for the clinical worsening of gout. or 30089 — the veteran has established the causal connection between the alcohol consumption and eligible service for the clinical worsening of gout. Clinical onset and operational service [30086] Clinical onset and eligible service [30087] Clinical worsening and operational service [30088] Clinical worsening and eligible service [30089]
Gout - Inability to obtain appropriate clinical management for gout Factor
Last reviewed for CCPS 01 June 2000.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [5583] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [36] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [37] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [41] [42] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [41] [42]
Gout - Lead nephropathy Factor
Last reviewed for CCPS 01 June 2000.
Preliminary questions [5152]
5569 [49] there is some evidence that lead nephropathy may be a factor in the development or worsening of the condition under consideration.
5570 [49] the veteran has had lead nephropathy at some time.
5571 — the veteran has established the causal connection between the lead nephropathy and VEA service for gout.
5579 [50] the veteran was suffering from lead nephropathy before the clinical onset of the condition under consideration. 5573 — the veteran has established the causal connection between the lead nephropathy and VEA service for the clinical onset of gout. 5575 — the veteran has established the causal connection between the lead nephropathy and operational service for the clinical onset of gout. or 5576 — the veteran has established the causal connection between the lead nephropathy and eligible service for the clinical onset of gout. or 5574 — the veteran has established the causal connection between the lead nephropathy and VEA service for the clinical worsening of gout. 5577 — the veteran has established the causal connection between the lead nephropathy and operational service for the clinical worsening of gout. or 5578 — the veteran has established the causal connection between the lead nephropathy and eligible service for the clinical worsening of gout. Clinical onset and operational service [5575] 5157 — the lead nephropathy is causally related to operational service. [52] [53] Clinical onset and eligible service [5576] 5158 — the lead nephropathy is causally related to eligible service. [54] [53] Clinical worsening and operational service [5577] 5157 — the lead nephropathy is causally related to operational service. [55] [53] Clinical worsening and eligible service [5578] 5158 — the lead nephropathy is causally related to eligible service. [57] [53]
Gout - Obesity Factor
Last reviewed for CCPS 01 June 2000.
Investigative Documents
Claimant Report - Obesity [CR9230] [60] Medical Report - Obesity [MR9305] Preliminary questions [24664] 17298 — the veteran has established the causal connection between the obesity and VEA service for the condition under consideration. 17299 — the veteran has established the causal connection between the obesity and VEA service for the clinical onset of the condition under consideration. 17303 — the veteran has established the causal connection between the obesity and operational service for the clinical onset of the condition under consideration. or 17304 — the veteran has established the causal connection between the obesity and eligible service for the clinical onset of the condition under consideration. or 17300 — the veteran has established the causal connection between the obesity and VEA service for the clinical worsening of the condition under consideration. 17305 — the veteran has established the causal connection between the obesity and operational service for the clinical worsening of the condition under consideration. or 17306 — the veteran has established the causal connection between the obesity and eligible service for the clinical worsening of the condition under consideration. Clinical onset and operational service [17303] or
9005 — the morbid obesity is causally related to operational service. [66] Clinical onset and eligible service [17304] or
9006 — the morbid obesity is causally related to eligible service. [69] Clinical worsening and operational service [17305] or
9005 — the morbid obesity is causally related to operational service. [66] the clinical onset of the condition under consideration occurred prior to that part of operational service to which the morbid obesity is causally related. Clinical worsening and eligible service [17306] or
9006 — the morbid obesity is causally related to eligible service. [69] the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the morbid obesity is causally related. [77]
Gout - Suffering from a disease in the specified list of diseases for gout Factor
Last reviewed for CCPS 01 June 2000.
Preliminary questions [30076]
30111 [78] there is some evidence that suffering from a disease in the specified list of diseases for gout may be a factor in the development or worsening of the condition under consideration.
30112 — the veteran suffered from a disease in the specified list of diseases for gout at some time.
5603 [79] the veteran has suffered from myeloid metaplasia at some time.
or
5604 [80] the veteran has had polycythaemia vera at some time.
or
30113 [81] the veteran has suffered from secondary polycythaemia at some time.
or
5605 [82] the veteran has suffered from multiple myeloma at some time.
30114 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and VEA service for gout.
30121 [83] the veteran suffered from the identified illness or injury, a disease in the specified list of diseases for gout, within the 180 days immediately before the clinical onset of the condition under consideration. 30115 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and VEA service for the clinical onset of gout. 30117 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and operational service for the clinical onset of gout. or 30118 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and eligible service for the clinical onset of gout. or 30116 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and VEA service for the clinical worsening of gout. 30119 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and operational service for the clinical worsening of gout. or 30120 — the veteran has established the causal connection between the suffering from a disease in the specified list of diseases for gout and eligible service for the clinical worsening of gout. Clinical onset and operational service [30117] 30122 — the identified illness or injury, a disease in the specified list of diseases for gout, is causally related to operational service. [85] [86] Clinical onset and eligible service [30118] 30123 — the identified illness or injury, a disease in the specified list of diseases for gout, is causally related to eligible service. [87] [86] Clinical worsening and operational service [30119] 30122 — the identified illness or injury, a disease in the specified list of diseases for gout, is causally related to operational service. [88] [86] Clinical worsening and eligible service [30120] 30123 — the identified illness or injury, a disease in the specified list of diseases for gout, is causally related to eligible service. [90] [86]
Gout - Treatment with a specified drug Factor
Last reviewed for CCPS 01 June 2000.
Investigative Documents
Medical Report - Drug Treatment - Gout [MR9138] Preliminary questions [24655]
30128 [94] the veteran was treated with a drug as specified in the Statement of Principles for gout at some time. 24694 — the veteran was treated with a drug as specified in the Statement of Principles for gout for an illness or injury which is identifiable. [Default true] 24657 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and VEA service for gout. 24658 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and VEA service for the clinical onset of gout. 24660 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and operational service for the clinical onset of gout. or 24661 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and eligible service for the clinical onset of gout. or 24659 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and VEA service for the clinical worsening of gout. 24662 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and operational service for the clinical worsening of gout. or 24663 — the veteran has established the causal connection between being treated with a drug, as specified in the Statement of Principles for gout, and eligible service for the clinical worsening of gout. Clinical onset and operational service [24660] 24641 — the identified illness or injury, for which the veteran was treated with a drug as specified in the Statement of Principles for gout, is causally related to operational service. [97] [98] Clinical onset and eligible service [24661] 24642 — the identified illness or injury, for which the veteran was treated with a drug as specified in the Statement of Principles for gout, is causally related to eligible service. [99] [98] Clinical worsening and operational service [24662] 24641 — the identified illness or injury, for which the veteran was treated with a drug as specified in the Statement of Principles for gout, is causally related to operational service. [100] [98] Clinical worsening and eligible service [24663] 24642 — the identified illness or injury, for which the veteran was treated with a drug as specified in the Statement of Principles for gout, is causally related to eligible service. [102] [98]
Gout - Undergoing chemotherapy for a malignant tumour Factor
Last reviewed for CCPS 01 June 2000.
Preliminary questions [24676]
24675 [105] there is some evidence that undergoing chemotherapy for a malignant tumour may be a factor in the development or worsening of the condition under consideration.
24677 [105] the veteran has undergone chemotherapy for a malignant tumour at some time.
24689 — the veteran underwent chemotherapy for an identifiable malignant tumour at some time. [Default true]
24678 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and VEA service for gout.
24680 [106] the veteran underwent chemotherapy for the identified illness or injury, a malignant tumour, within the seven days immediately before the clinical onset of the condition under consideration. 24679 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and VEA service for the clinical onset of gout. 24682 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and operational service for the clinical onset of gout. or 24683 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and eligible service for the clinical onset of gout. or 24684 — the veteran has established the causal connection between the course of chemotherapy and VEA service for the clinical worsening of gout. 24685 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and operational service for the clinical worsening of gout. or 24686 — the veteran has established the causal connection between undergoing chemotherapy for a malignant tumour and eligible service for the clinical worsening of gout. Clinical onset and operational service [24682] 24690 — the identified illness or injury, a malignant tumour for which chemotherapy was undergone, is causally related to operational service. [108] [109] Clinical onset and eligible service [24683] 24691 — the identified illness or injury, a malignant tumour for which chemotherapy was undergone, is causally related to eligible service. [110] [109] Clinical worsening and operational service [24685] 24690 — the identified illness or injury, a malignant tumour for which chemotherapy was undergone, is causally related to operational service. [111] [109] Clinical worsening and eligible service [24686] 24691 — the identified illness or injury, a malignant tumour for which chemotherapy was undergone, is causally related to eligible service. [113] [109]
Links
[1] http://www.rma.gov.au/assets/SOP/2019/059.pdf
[2] http://www.rma.gov.au/assets/SOP/2019/060.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20208.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63567%23comment-form
[5] https://clik.dva.gov.au/ccpsc001rc-14
[6] clikpopup://CCPS/Active systemic leukaemia 180 days prior to gout
[7] clikpopup://CCPS/reject7639No
[8] clikpopup://CCPS/Reject/OnsetAfterService
[9] clikpopup://CCPS/Reject/NoPermanentWorsening
[10] clikpopup://CCPS/reject7642No
[11] clikpopup://CCPS/reject7640,7641No
[12] clikpopup://CCPS/reject7641No
[13] clikpopup://CCPS/reject7640No
[14] clikpopup://CCPS/Active systemic leukaemia onset before gout operational
[15] clikpopup://CCPS/reject7643No
[16] clikpopup://CCPS/Active systemic leukaemia onset before gout eligible
[17] clikpopup://CCPS/reject7644No
[18] https://clik.dva.gov.au/ccpsclaimant-21
[19] https://clik.dva.gov.au/ccpsmedical-39
[20] https://clik.dva.gov.au/10447-veteran-having-been-prisoner-war-japan
[21] clikpopup://CCPS/reject25686No
[22] clikpopup://CCPS/reject30080No
[23] clikpopup://CCPS/reject30090No
[24] clikpopup://CCPS/reject30108No
[25] clikpopup://CCPS/rejectwilful
[26] clikpopup://CCPS/reject30093No
[27] clikpopup://CCPS/reject30094No
[28] clikpopup://CCPS/reject30109No
[29] clikpopup://CCPS/reject30091No
[30] clikpopup://CCPS/reject30100No
[31] clikpopup://CCPS/reject30127No
[32] clikpopup://CCPS/reject30096No
[33] clikpopup://CCPS/reject30110No
[34] clikpopup://CCPS/reject30134No
[35] https://clik.dva.gov.au/ccpsother-31
[36] https://clik.dva.gov.au/node/71329
[37] clikpopup://CCPS/Gout/ACM - contributed to worsening
[38] clikpopup://CCPS/ACM/NoContribution
[39] clikpopup://CCPS/ACM/NotOpService
[40] clikpopup://CCPS/ACM/NotOperDuties
[41] clikpopup://CCPS/ACM/NoIllness
[42] clikpopup://CCPS/reject7390,7391No
[43] clikpopup://CCPS/Gout/ACM - onset prior to operational service
[44] clikpopup://CCPS/ACM/OnsetFailOper
[45] clikpopup://CCPS/ACM/NotEligService
[46] clikpopup://CCPS/ACM/NotEligDuties
[47] clikpopup://CCPS/Gout/ACM - onset prior to eligible service
[48] clikpopup://CCPS/ACM/OnsetFailElig
[49] https://clik.dva.gov.au/ccpsc001rc-16
[50] clikpopup://CCPS/Lead nephropathy - prior to onset of Gout
[51] clikpopup://CCPS/reject5579No
[52] clikpopup://CCPS/reject5580No
[53] clikpopup://CCPS/reject5157,5158No
[54] clikpopup://CCPS/reject5158No
[55] clikpopup://CCPS/reject5157No
[56] clikpopup://CCPS/Worsening of gout operational service requirement - lead nephropathy
[57] clikpopup://CCPS/reject5581No
[58] clikpopup://CCPS/Worsening of gout eligible service requirement - lead nephropathy
[59] clikpopup://CCPS/reject5582No
[60] https://clik.dva.gov.au/ccpsclaimant-78
[61] https://clik.dva.gov.au/ccpsc001rc-13
[62] clikpopup://CCPS/reject587No
[63] clikpopup://CCPS/reject17307No
[64] clikpopup://CCPS/reject591No
[65] clikpopup://CCPS/reject9004No
[66] clikpopup://CCPS/reject9005No
[67] clikpopup://CCPS/Obese at onset of gout
[68] clikpopup://CCPS/reject3407No
[69] clikpopup://CCPS/reject9006No
[70] clikpopup://CCPS/Obese at worsening of gout
[71] clikpopup://CCPS/reject17308No
[72] clikpopup://CCPS/reject17309No
[73] clikpopup://CCPS/Morbid obesity - gout prior to operational service period
[74] clikpopup://CCPS/reject9009No
[75] clikpopup://CCPS/reject17310No
[76] clikpopup://CCPS/Morbid obesity - gout prior to eligible service period
[77] clikpopup://CCPS/reject9010No
[78] https://clik.dva.gov.au/standard-commentary-125
[79] https://clik.dva.gov.au/ccpsc001rc-19
[80] https://clik.dva.gov.au/ccpsc001rc-1
[81] https://clik.dva.gov.au/ccpsc001rc-10
[82] https://clik.dva.gov.au/30076-suffering-disease-specified-list-diseases-gout
[83] clikpopup://CCPS/Suffered a disease in the specified list of diseases for gout, within the 180 days before the clinical onset
[84] https://clik.dva.gov.au/reasons-decision-202
[85] clikpopup://CCPS/reject30124No
[86] clikpopup://CCPS/reject30122,30123No
[87] clikpopup://CCPS/reject30123No
[88] clikpopup://CCPS/reject30122No
[89] clikpopup://CCPS/Onset occurred prior to operational service to which disease in the specified list of diseases for gout is causally related
[90] clikpopup://CCPS/reject30125No
[91] clikpopup://CCPS/Onset occurred prior to eligible service to which disease in the specified list of diseases for gout is causally related
[92] clikpopup://CCPS/reject30126No
[93] https://clik.dva.gov.au/ccpsmedical-244
[94] clikpopup://CCPS/Drug treatment for gout at some time
[95] clikpopup://CCPS/reject30128No
[96] clikpopup://CCPS/reject24640No
[97] clikpopup://CCPS/reject24644No
[98] clikpopup://CCPS/reject24641,24642No
[99] clikpopup://CCPS/reject24642No
[100] clikpopup://CCPS/reject24641No
[101] clikpopup://CCPS/Gout operational period specified drug
[102] clikpopup://CCPS/reject24649No
[103] clikpopup://CCPS/Gout eligible period specified drug
[104] clikpopup://CCPS/reject24650No
[105] https://clik.dva.gov.au/ccpsc001rc-6
[106] clikpopup://CCPS/Chemo of malignant tumour burden before gout onset
[107] clikpopup://CCPS/reject24680No
[108] clikpopup://CCPS/reject24681No
[109] clikpopup://CCPS/reject24690,24691No
[110] clikpopup://CCPS/reject24691No
[111] clikpopup://CCPS/reject24690No
[112] clikpopup://CCPS/Chemo tumour burden prior to gout operational period
[113] clikpopup://CCPS/reject24692No
[114] clikpopup://CCPS/Chemo tumour burden prior to gout eligible period
[115] clikpopup://CCPS/reject24693No