Evidence Checklist: Kidney Stones (Nephrolithiasis)
DC 7508
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Nexus opinion linking recurrent kidney stones to serviceCritical
Medical opinion connecting kidney stones to service, citing factors such as dehydration in deployment environments, dietary changes, or in-service first occurrence.
Treatment Records
Emergency room and hospitalization records for stone episodesCritical
Records of acute stone episodes including pain management, procedures (lithotripsy, stent placement), and complications.
Diagnostic Tests & Lab Results
CT scan, X-ray, or ultrasound documenting stone(s)Critical
Imaging confirming presence, size, and location of kidney stones. CT KUB is the gold standard for stone detection.
24-hour urine collection and stone analysis results
Metabolic workup results identifying stone type and contributing factors (calcium oxalate, uric acid, etc.).
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.