RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW
NAME:  XXXXXXXXXXXXXXXXXXX	CASE: PD-2017-05346
BRANCH OF SERVICE: MARINE CORPS	SEPARATION DATE: 20071031

SUMMARY OF CASE: Data extracted from the available evidence of record reflects this covered individual (CI) was an active duty E3, Aircraft Ordnance Technician, medically separated for “chronic hematuria (differential diagnosis includes loin pain-hematuria syndrome versus medullary sponge kidney)” with a disability rating of 0%.

CI CONTENTION: No specific contention was made. The complete submission is at Exhibit A.

SCOPE OF REVIEW: The panel’s scope of review is defined in DoDI 6040.44. It is limited to review of disability ratings assigned to those conditions determined by the Physical Evaluation Board (PEB) to be unfitting for continued military service, and when specifically requested by the CI, those conditions identified by the Medical Evaluation Board (MEB), but determined by the PEB to be not unfitting or non-compensable. Any conditions outside the panel’s defined scope of review, and any contention not requested in this application, may remain eligible for future consideration by the Board for Correction of Military Records. The panel’s authority is limited to assessing the fairness and accuracy of PEB rating determinations and recommending corrections when appropriate. The panel gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of disability at the time of separation.

RATING COMPARISON:

SERVICE PEB -20070815	VARD - 20080107	
Condition	Code	Rating	Condition	Code	Rating	Exam	
Chronic Hematuria…	7599-7502	0%	Bilateral Kidney Benign/Congenital
Hematuria; Spongiform Kidneys of Unknown Etiology	7599-7533	0%	20070830	
COMBINED RATING: 0%	COMBINED RATING OF ALL VA CONDITIONS: 10%	

ANALYSIS SUMMARY:

Chronic Hematuria. According to the service treatment record and MEB narrative summary (NARSUM), the CI presented to the emergency department in January 2006 with complaints of left flank pain with gross hematuria. The 28 June 2007 MEB NARSUM examination, 4 months prior to separation, noted complaints of daily bilateral flank pain when lifting over 10-15 pounds and with movement or positional changes. He took a daily nonsteroidal anti-inflammatory medication as well as Darvocet (analgesic opioid) 3-4 times a month for pain management. His most recent urinalysis revealed no blood, and the last hematuria was noted in October 2006. Imaging showed findings suggestive of bilateral medullary nephrocalcinosis as well as several different diseases. Physical examination showed bilateral flank tenderness, left greater than right. Blood pressure was within normal limits and there were no significant metabolic abnormalities. The differential diagnosis included loin pain-hematuria syndrome versus medullary sponge kidney.

At the 30 August 2007 VA Compensation and Pension (C&P) examination, 2 months before separation, the CI reported flank and deep kidney pain with occasional back pain after prolonged standing. The pain was exacerbated by lifting and pulling, but he was able to tolerate it for the most part. The examiner noted blood pressure within normal limits, and tenderness over the kidney areas as well as the costovertebral angles on his sides.

The panel directed attention to its rating recommendation based on the above evidence. The PEB rated the hematuria 0%, analogously coded 7599-7502 (chronic nephritis). The VA also rated the hematuria 0%, but analogously coded 7599-7533 (cystic diseases of the kidneys), based on the C&P examination, citing that a non-compensable evaluation. Panel members noted that the VASRD analogizes code 7502 and 7533 to renal dysfunction criteria, but there was no evidence of elevated albumin with casts or red blood cells; or hypertension that was at least 40% disabling under code 7101 (hypertensive vascular disease) to warrant a higher rating. After due deliberation, considering all the evidence and mindful of VASRD §4.3 (reasonable doubt), the panel concluded there was insufficient cause to recommend a change in the PEB adjudication for the hematuria.

BOARD FINDINGS: In the matter of the hematuria and IAW VASRD §4.115, the panel recommends no change in the PEB adjudication. There are no other conditions within the panel’s scope of review for consideration. Therefore, the panel recommends no modification or re- characterization of the CI’s disability and separation determination.

2	PD-2017-05346

DEPARrnENT OF THE NAVY
SECRETARY OF THE NAVY COUNCIL OF REVIEW BOARDS 720 KENNON STREET SE STE 309
WASHINGTON NAVY YARD, DC 20374-5023

IN REPLY REFER TO:
1850
CORB: 003
10 Sep 20

From: Director, Secretary of the Navy Council of Review Boards To:	XXXXXXXXXXXXXXX

Subj: PHYSICAL DISABILITY BOARD OF REVIEW (PDBR) Ref:	(a) DoDI 6040.44
1.	Pursuant to reference (a), the PDBR reviewed your case and forwarded its recommendation to the Department of the Navy on 13 Aug 2020 for appropriate action.

2.	On 27 August 2020, the Assistant Secretary of the Navy (Manpower & Reserve Affairs) accepted the recommendation of the PDBR ofno change to your characterization of separation or disability rating assigned by the Department of the Navy's Physical Evaluation Board.

3.	The Secretary's decision on your PDBR application is final and is not subject to appeal or additional review by the Board for Correction of Naval Records.