Reasonable Hypothesis SOP [1] | 28 of 2017 |
Balance of Probabilities SOP [2] | 29 of 2017 |
SOP Bulletin 196 [3]
Thromboangiitis obliterans is a nonatherosclerotic, segmental, inflammatory disease that most commonly affects the small to medium-sized arteries and veins of the extremities, resulting in occlusive thrombus and distal extremity ischaemia. It occurs almost exclusively in smokers.
The diagnosis is predominantly made on clinical grounds. Biopsy of subcutaneous nodules or superficial thrombophlebitis, if present, provides a definitive diagnosis, but is rarely needed.
The relevant medical specialist is a physician or vascular surgeon.
Typical age of onset is 40 to 45 years. It presents with ischaemia of the hands or feet manifesting as pain and discolouration, and progressing to ulceration. Superficial thrombophlebitis may be present.
Disease progression is usual and amputations are commonly required. Life expectancy is reduced. Smoking cessation can reduce symptoms and the risk of major amputations.
Place holder node for Rulebase for thromboangiitis obliterans
Thromboangiitis obliterans - Cigar smoking Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Claimant Report - Smoking [CRD905] [5] Claimant Report - Smoking [CRV905] Preliminary questions [9732]
4915 [7] the veteran has ever smoked cigars. 9748 — the veteran has established the causal connection between the cigar smoking and VEA service for thromboangiitis obliterans. 9749 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of thromboangiitis obliterans. 9751 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of thromboangiitis obliterans. or 9752 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of thromboangiitis obliterans. or 9750 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical worsening of thromboangiitis obliterans. 9753 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical worsening of thromboangiitis obliterans. or 40590 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical worsening of thromboangiitis obliterans. Clinical onset and operational service [9751] 9754 — the veteran smoked at least three pack years of cigars before the clinical onset of thromboangiitis obliterans. [10] 4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [12] Clinical onset and eligible service [9752] 9995 — the veteran has smoked at least three pack years of cigars before the clinical onset of thromboangiitis obliterans. [13] 4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service. [15] Clinical worsening and operational service [9753] 9755 — the veteran smoked at least half a pack year of cigars before the clinical worsening of thromboangiitis obliterans. [16] 4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [18] Clinical worsening and eligible service [40590] 40598 — the veteran has smoked at least half a pack year of cigars before the clinical worsening of thromboangiitis obliterans. [20] 4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service. [22]
Thromboangiitis obliterans - Cigarette smoking Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Claimant Report - Smoking [CRD905] [5] Claimant Report - Smoking [CRV905] Preliminary questions [9731] 9737 — the veteran has established the causal connection between the cigarette smoking and VEA service for thromboangiitis obliterans. 9738 — the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical onset of thromboangiitis obliterans. 9742 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of thromboangiitis obliterans. or 9743 — the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical onset of thromboangiitis obliterans. or 9739 — the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical worsening of thromboangiitis obliterans. 9744 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical worsening of thromboangiitis obliterans. or 40589 — the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical worsening of thromboangiitis obliterans. Clinical onset and operational service [9742] 9745 — the veteran smoked at least three pack years of cigarettes before the clinical onset of thromboangiitis obliterans. [10] 3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [28] Clinical onset and eligible service [9743] 9994 — the veteran has smoked at least three pack years of cigarettes before the clinical onset of thromboangiitis obliterans. [29] 3521 — the veteran has some period or periods of cigarette smoking that are causally related to eligible service. [31] Clinical worsening and operational service [9744] 9746 — the veteran smoked at least half a pack year of cigarettes before the clinical worsening of thromboangiitis obliterans. [32] 3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [34] Clinical worsening and eligible service [40589] 40593 — the veteran has smoked at least half a pack year of cigarettes before the clinical worsening of thromboangiitis obliterans. [36] 3521 — the veteran has some period or periods of cigarette smoking that are causally related to eligible service. [38]
Thromboangiitis obliterans - Inability to obtain appropriate clinical management for thromboangiitis obliterans Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [9734] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [42] 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 [43] 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. [48] [49] 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. [48] [49]
Thromboangiitis obliterans - Pipe smoking Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Claimant Report - Smoking [CRD905] [5] Claimant Report - Smoking [CRV905] Preliminary questions [9733]
4880 [57] the veteran has ever smoked pipe tobacco. 9757 — the veteran has established the causal connection between the pipe smoking and VEA service for thromboangiitis obliterans. 9758 — the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of thromboangiitis obliterans. 9760 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of thromboangiitis obliterans. or 9761 — the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of thromboangiitis obliterans. or 9759 — the veteran has established the causal connection between the pipe smoking and VEA service for the clinical worsening of thromboangiitis obliterans. 9762 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical worsening of thromboangiitis obliterans. or 40591 — the veteran has established the causal connection between the pipe smoking and eligible service for the clinical worsening of thromboangiitis obliterans. Clinical onset and operational service [9760] 9763 — the veteran smoked at least three pack years of pipe tobacco before the clinical onset of thromboangiitis obliterans. [10] 4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [60] Clinical onset and eligible service [9761] 9996 — the veteran has smoked at least three pack years of pipe tobacco before the clinical onset of thromboangiitis obliterans. [61] 4913 — the veteran has some period or periods of pipe smoking that are causally related to eligible service. [63] Clinical worsening and operational service [9762] 9764 — the veteran smoked at least half a pack year of pipe tobacco before the clinical worsening of thromboangiitis obliterans. [64] 4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [66] Clinical worsening and eligible service [40591] 40603 — the veteran has smoked at least half a pack year of pipe tobacco before the clinical worsening of thromboangiitis obliterans. [68] 4913 — the veteran has some period or periods of pipe smoking that are causally related to eligible service. [70]
Thromboangiitis obliterans - Smoking tobacco products - material contribution Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Claimant Report - Smoking [CRD905] [5] Claimant Report - Smoking [CRV905] Preliminary questions [35774] 35775 — the veteran has established the causal connection between smoking tobacco products and VEA service for thromboangiitis obliterans. 35776 — the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical onset of thromboangiitis obliterans. 35778 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of thromboangiitis obliterans. or 35779 — the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical onset of thromboangiitis obliterans. or 35777 — the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical worsening of thromboangiitis obliterans. 35780 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical worsening of thromboangiitis obliterans. or 40592 — the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical worsening of thromboangiitis obliterans. Clinical onset and operational service [35778] Clinical onset and eligible service [35779] Clinical worsening and operational service [35780] Clinical worsening and eligible service [40592]
Links
[1] http://www.rma.gov.au/assets/SOP/2017/028.pdf
[2] http://www.rma.gov.au/assets/SOP/2017/029.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20196.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/64186%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-115
[6] clikpopup://CCPS/Cigar smoking
[7] clikpopup://CCPS/Ever smoked cigars
[8] clikpopup://CCPS/reject4915No
[9] clikpopup://CCPS/Reject/OnsetAfterService
[10] clikpopup://CCPS/Reject/NoPermanentWorsening
[11] clikpopup://CCPS/Smoked 3 pack years of cigars in 6 years before onset of thromboangiitis obliterans
[12] clikpopup://CCPS/reject40599No
[13] clikpopup://CCPS/reject9995No
[14] clikpopup://CCPS/Smoked 3 pack years of cigars in 3 years before onset of thromboangiitis obliterans
[15] clikpopup://CCPS/reject40600No
[16] clikpopup://CCPS/reject9755No
[17] clikpopup://CCPS/Smoked half a pack year of Op service cigars in 1 year before onset of thromboangiitis obliterans
[18] clikpopup://CCPS/reject40601No
[19] clikpopup://CCPS/Onset of thromboangiitis obliterans before Op service to which cigar smoking related
[20] clikpopup://CCPS/reject9196No
[21] clikpopup://CCPS/Smoked half a pack year of El service cigars in 1 year before onset of thromboangiitis obliterans
[22] clikpopup://CCPS/reject40602No
[23] clikpopup://CCPS/Onset of thromboangiitis obliterans before El service to which cigar smoking related
[24] clikpopup://CCPS/reject9197No
[25] clikpopup://CCPS/Cigarette smoking
[26] clikpopup://CCPS/reject5803No
[27] https://clik.dva.gov.au/9731-cigarette-smoking-0
[28] clikpopup://CCPS/reject40594No
[29] clikpopup://CCPS/reject9994No
[30] clikpopup://CCPS/Smoked 3 pack years of cigs in 3 years before onset of thromboangiitis obliterans
[31] clikpopup://CCPS/reject40595No
[32] clikpopup://CCPS/reject9746No
[33] clikpopup://CCPS/Smoked half a pack year of Op service cigs in 1 year before onset of thromboangiitis obliterans
[34] clikpopup://CCPS/reject40596No
[35] clikpopup://CCPS/Onset of thromboangiitis obliterans before Op service to which cig smoking related
[36] clikpopup://CCPS/reject9188No
[37] clikpopup://CCPS/Smoked half a pack year of El service cigs in 1 year before onset of thromboangiitis obliterans
[38] clikpopup://CCPS/reject40597No
[39] clikpopup://CCPS/Onset of thromboangiitis obliterans before El service to which cig smoking related
[40] clikpopup://CCPS/reject9189No
[41] https://clik.dva.gov.au/ccpsother-31
[42] https://clik.dva.gov.au/node/68949
[43] clikpopup://CCPS/Thromboangiitis obliterans/ACM - contributed to worsening
[44] clikpopup://CCPS/ACM/NoContribution
[45] clikpopup://CCPS/ACM/NotOpService
[46] clikpopup://CCPS/ACM/NotOperDuties
[47] clikpopup://CCPS/rejectwilful
[48] clikpopup://CCPS/ACM/NoIllness
[49] clikpopup://CCPS/reject7390,7391No
[50] clikpopup://CCPS/Thromboangiitis obliterans/ACM - onset prior to operational service
[51] clikpopup://CCPS/ACM/OnsetFailOper
[52] clikpopup://CCPS/ACM/NotEligService
[53] clikpopup://CCPS/ACM/NotEligDuties
[54] clikpopup://CCPS/Thromboangiitis obliterans/ACM - onset prior to eligible service
[55] clikpopup://CCPS/ACM/OnsetFailElig
[56] clikpopup://CCPS/Pipe smoking
[57] clikpopup://CCPS/Ever smoked pipe tobacco
[58] clikpopup://CCPS/reject4880No
[59] clikpopup://CCPS/Smoked 3 pack years of pipe tobacco in 6 years before onset of thromboangiitis obliterans
[60] clikpopup://CCPS/reject40604No
[61] clikpopup://CCPS/reject9996No
[62] clikpopup://CCPS/Smoked 3 pack years of pipe tobacco in 3 years before onset of thromboangiitis obliterans
[63] clikpopup://CCPS/reject40605No
[64] clikpopup://CCPS/reject9764No
[65] clikpopup://CCPS/Smoked half a pack year of Op service pipe tobacco in 1 year before onset of thromboangiitis obliterans
[66] clikpopup://CCPS/reject40606No
[67] clikpopup://CCPS/Onset of thromboangiitis obliterans before Op service to which pipe smoking related
[68] clikpopup://CCPS/reject9204No
[69] clikpopup://CCPS/Smoked half a pack year of El service pipe tobacco in 1 year before onset of thromboangiitis obliterans
[70] clikpopup://CCPS/reject40607No
[71] clikpopup://CCPS/Onset of thromboangiitis obliterans before El service to which pipe smoking related
[72] clikpopup://CCPS/reject9205No
[73] clikpopup://CCPS/Smoked cigarettes, pipe tobacco or cigars at some time
[74] clikpopup://CCPS/reject30303No
[75] clikpopup://CCPS/reject35781No
[76] clikpopup://CCPS/reject35783No
[77] clikpopup://CCPS/reject35782No
[78] clikpopup://CCPS/reject35784No
[79] clikpopup://CCPS/reject35785No
[80] clikpopup://CCPS/reject40609No
[81] clikpopup://CCPS/reject35786No
[82] clikpopup://CCPS/reject33454No
[83] clikpopup://CCPS/reject40608No
[84] clikpopup://CCPS/reject33459No