Board reasoning
The Board remands all eight claimed conditions for new VA examinations to determine current diagnoses and etiologies, including potential links to service and to the veteran's ankylosing spondylitis or asthma. The examiner must review the file, consider prior November 2012 findings, and distinguish symptoms caused by service-connected conditions from separate diagnoses, providing rationales for all opinions.
Issues
- left hand disorderRemanded
- right hand disorderRemanded
- left knee disorderRemanded
- right knee disorderRemanded
- left ankle disorderRemanded
- left shoulder disorderRemanded
- fatigueRemanded
- disorder manifested by chest painRemanded
Extracted with gpt-5-nano-2025-08-07. Citations are kept only when they appear in the decision text.