The Board has granted service connection for cold injury resulting in arthritis of the hands and knees, but denied it for the ankles, shoulders, and back due to lack of evidence linking these conditions to military service.

The Board has determined that new and relevant evidence has been presented to warrant readjudication of the claim for service connection for arthritis of the knees, elbows, and hands. The matter is being remanded for further consideration on a secondary basis due to the Veteran's assertions regarding his hips locking and falling into foxholes.

The Veteran's claim of service connection for a back disability is remanded due to the need for an orthopedic examination to determine the nature and likely etiology of his claimed condition. The examiner must identify each diagnosed back disability entity, its likely etiology, and whether it is at least as likely as not related to service.

The Veteran's arthritis of the back is granted service connection based on continuity of symptomatology.,Service connection for irritable bowel syndrome (IBS) is granted due to its presumptive relationship as a qualifying chronic disability under Persian Gulf War criteria.,Service connection for a skin disability, manifested by rashes of the hands and feet, is granted based on continuity of symptoms since service.,Service connection for a gynecological disability, residuals of hysterectomy, is granted based on continuity of symptoms since service.

The Board has determined that there was a pre-decisional duty to assist error in not associating the Veteran's service treatment records with the claims file, and therefore the Board is unable to decide the issues currently on appeal. The Board also finds that remand for development of a longitudinal exposure record (ILER) and a TERA opinion is necessary.