Quick Reference Guide

Quick Reference Guide

Please download this APP to receive instant messages from KDVMA:

1.  Go to your App store and download Vets Portal

2.  After the App download, open the App

3.  Go to the bottom and select create account

4.  The next page will be the sign up today page

5.  Under the sign up today, you will see KDVMA.com user, click here

6.  When you click there, it will ask for your KDVMA username and password. When you enter that information, it will link the account. Continue with the other few question and you will be all set.

(Gout) is a common and complex form of arthritis that can affect anyone. Gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. Follow up with your physician if you have intense joint pain, lingering discomfort, inflammation and redness or limited range of motion. You can develop more severe conditions such as recurrent gout, advanced gout and kidney stones. We need to know if you have impairment of health or severely incapacitating exacerbations occurring 3 to 4 or more times per year.

(Hypothyroidism) is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages. Over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Please follow up with your physician for: Fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain, stiffness or swelling in your joints, (female) heavier than normal or irregular menstrual periods, thinning hair, slowed heart rate, depression, impaired memory or enlarge thyroid gland.

(Crohn's disease) In Crohn's disease, any part of your small or large intestine can be involved, and it may be continuous or may involve multiple segments. In some people, the disease is confined to the colon, which is part of large intestine. Signs and symptoms of Crohn's disease can range from mild to severe. Follow up with your doctor if you have diarrhea, fever, fatigue, abdominal pain/cramping, blood in your stool, mouth sores, reduced appetite and weight loss, pain or drainage near or around the anus due to inflammation from a tunnel into the skin. You can also have inflammation of skin, eyes and joints, inflammation of liver or bile ducts, kidney stones, or iron deficiency (anemia).

(Lyme disease) Follow up with your doctor for any residual disability of infection, which includes, but is not limited to, arthritis, Bell's palsy, radiculopathy, ocular, or cognitive dysfunction.

(Endometriosis) Follow up with your doctor if you have, lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms.  Pelvic pain or heavy or irregular bleeding not controlled by treatment.

(Varicose veins) Follow up with your doctor if you have the following findings attributed to the effects of varicose veins:  Massive board like edema with constant pain at rest, persistent edema or subcutaneous induration, stasis pigmentation or eczema and persistent ulceration, persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema.

(PFB) Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or constant or near constant systemic therapy including, but not limited to, corticosteroids, phototherapy.  Follow up with a dermatologist for your skin condition and get a current diagnosis.

(Voiding dysfunction) Follow up on urine leakage.  If you have the any of the following symptoms, please make sure they are documented in your medical records and a current diagnosis.  The use of an appliance or the wearing of absorbent materials which must be changed more than 4 times per day, or the wearing of absorbent materials which must be changed 2 to 4 times per day, or the wearing of absorbent materials which must be changed less then 2 times per day.

(Acne) Follow up with your dermatologist. Check for deep inflamed nodules and pus-filled cysts affecting 40 percent or more of the face and neck.  Also, check for scarring.

(Anemia) Need current Hemoglobin reading. Get current labs on this condition.

(Foot) Have your podiatrist to check for flat feet, plantar fasciitis, hammer toe, bunion etc. You need a complete exam checking for marked pronation, extreme tenderness of plantar surface of the feet marked inward displacement and severe spasm of the tendo Achilles on manipulation, indication of swelling on use and characteristic callosities.  Current X-ray.

(Hip) Current imaging (X-rays and or MRI if possible). This will confirm any arthritis. Check for limitation of flexion.

(Ankle) Get imaging (X-rays and MRI if possible), this will confirm arthritis. Check ankle for limited motion and marked deformity. Check for Achilles pain.

(Knee) Please follow up with your doctor for lateral knee instability or subluxation. Check for arthritis and cartilage damage. Get imaging X-rays and MRI if possible. You may have to complete physical therapy before you can get an MRI. If you have one knee that's service connected, the other knee can start to have issues because of overcompensating for the injured knee.

(GERD)- We need to know if you have persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain.  If you have any of those symptoms, please get them documented in your medical records.

We understand you're working on uploading your records.  Please upload the following:

1.  All active duty medical records.

2.  All civilian medical records.

3.  All VA medical records if applicable.

4.  Any and all Line Of Duty (LOD) documents.

5.  All DD214

6.  All VA decision letters.  We must have them in order to determine if you need to complete a form 21-526EZ or form 20-0995.

7.  Rated disabilities page from ebenefits.  Log into ebenefits, select dashboard, click on disabilities and the rated disabilities will come up. Copy it into a word document and upload it.