Reasonable Hypothesis SOP [1] | 31 of 2015 |
Balance of Probabilities SOP [2] | 32 of 2015 |
SOP Bulletin 179 [3]
This is a congenital malformation with the kidneys fused across the midline, usually at the lower poles, by a bridge of functioning or non-functioning tissue.
Diagnosis is usually made coincidentally following imaging (e.g. routine antenatal ultrasound) performed for another reason.
The relevant medical specialist is a urologist.
The condition is asymptomatic in most people. A significant number of patients with horseshoe kidney will have other urological abnormalities, commonly leading to urinary obstruction. These patients may present with pain or hematuria and have evidence of hydronephosis (swelling of kidney due to a build up of urine from a blockage/obstruction), kidney stones or urinary infection. Such manifestations typically present during childhood.
The only SOP factor is for inability to obtain appropriate clinical management. The horseshoe abnormality itself will not become worse. Progression of urological problems (obstruction, infection etc.) will be related to the associated abnormalities rather than the horseshoe kidney.
Place holder node for Rulebase for horseshoe kidney
Horseshoe kidney - Inability to obtain appropriate clinical management for horseshoe kidney Factor
Last reviewed for CCPS 10 March 1995.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [8470]
8471 [6] the clinical onset of the veteran's horseshoe kidney occurred after the end of the veteran's last period of VEA service. the veteran's horseshoe kidney permanently worsened. the veteran was unable to obtain appropriate clinical management for horseshoe kidney at some time.
8493 [9] the inability to obtain appropriate clinical management for horseshoe kidney contributed to the clinical worsening of the veteran's horseshoe kidney. 8495 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for horseshoe kidney and VEA service for the clinical worsening of horseshoe kidney. 8496 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for horseshoe kidney and operational service for the clinical worsening of horseshoe kidney. or 8497 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for horseshoe kidney and eligible service for the clinical worsening of horseshoe kidney. Clinical worsening and operational service [8496] or 8504 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for horseshoe kidney is causally related to operational service. [14] [15] 8506 — horseshoe kidney was suffered prior to that part of the operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for horseshoe kidney is causally related. [16] Clinical worsening and eligible service [8497] or
8505 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for horseshoe kidney is causally related to eligible service. [20] [15]
8507 — horseshoe kidney was suffered prior to that part of the eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for horseshoe kidney is causally related. [21]
Horseshoe kidney - Physical trauma to the site of the kidney Factor
Last reviewed for CCPS 10 March 1995.
Investigative Documents
Medical Report - Physical Trauma - Horseshoe Kidney [MR9033] Preliminary questions [8469]
8471 [6] the clinical onset of the veteran's horseshoe kidney occurred after the end of the veteran's last period of VEA service. the veteran's horseshoe kidney permanently worsened. the veteran has suffered a physical trauma at some time.
8621 [23] the veteran has suffered a physical trauma to the site of the kidney at some time. 8474 — the veteran has established the causal connection between the physical trauma to the site of the kidney and VEA service for the clinical worsening of horseshoe kidney. 8477 — the veteran has established the causal connection between the physical trauma to the site of the kidney and operational service for the clinical worsening of horseshoe kidney. or 8478 — the veteran has established the causal connection between the physical trauma to the site of the kidney and eligible service for the clinical worsening of horseshoe kidney. Clinical worsening and operational service [8477] 8479 — the clinical onset of the veteran's horseshoe kidney occurred prior to the physical trauma to the site of the kidney. [Default true] or 8487 — the identified illness or injury which caused the physical trauma to the site of the kidney prior to the clinical worsening of horseshoe kidney is causally related to operational service. [27] [28] 8489 — horseshoe kidney was suffered prior to that part of the operational service to which the identified illness or injury which caused the physical trauma to the site of the kidney is causally related. [Default true] Clinical worsening and eligible service [8478] 8479 — the clinical onset of the veteran's horseshoe kidney occurred prior to the physical trauma to the site of the kidney. [Default true] or
8488 — the identified illness or injury which caused the physical trauma to the site of the kidney prior to the clinical worsening of horseshoe kidney is causally related to eligible service. [32] [28]
8490 — horseshoe kidney was suffered prior to that part of the eligible service to which the identified illness or injury which caused the physical trauma to the site of the kidney is causally related. [Default true]
Links
[1] http://www.rma.gov.au/assets/SOP/2015/37d4bd517d/031.pdf
[2] http://www.rma.gov.au/assets/SOP/2015/23b91fb104/032.pdf
[3] https://clik.dva.gov.au/system/files/media/Bull179_3.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63634%23comment-form
[5] https://clik.dva.gov.au/ccpsother-31
[6] https://clik.dva.gov.au/node/70785
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/Horseshoe kidney/ACM - contributed to worsening
[10] clikpopup://CCPS/ACM/NoContribution
[11] clikpopup://CCPS/ACM/NotOpService
[12] clikpopup://CCPS/ACM/NotOperDuties
[13] clikpopup://CCPS/rejectwilful
[14] clikpopup://CCPS/ACM/NoIllness
[15] clikpopup://CCPS/reject8504,8505No
[16] clikpopup://CCPS/ACM/OnsetFailOper
[17] clikpopup://CCPS/Horseshoe kidney/ACM - eligible service
[18] clikpopup://CCPS/ACM/NotEligService
[19] clikpopup://CCPS/ACM/NotEligDuties
[20] clikpopup://CCPS/ACM/IllnessNotElig
[21] clikpopup://CCPS/ACM/OnsetFailElig
[22] https://clik.dva.gov.au/ccpsmedical-10
[23] https://clik.dva.gov.au/onset-screen-0
[24] clikpopup://CCPS/reject8621No
[25] clikpopup://CCPS/reject8480No
[26] clikpopup://CCPS/reject8481No
[27] clikpopup://CCPS/reject8486No
[28] clikpopup://CCPS/reject8487,8488No
[29] clikpopup://CCPS/Trauma to site of kidney prior to worsening of horseshoe kidney
[30] clikpopup://CCPS/reject8482No
[31] clikpopup://CCPS/reject8483No
[32] clikpopup://CCPS/reject8488No