Decision Considerations - Aerospace Medical Dispositions
Item 38. Abdomen and Viscera and Anus Conditions

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Colitis (Ulcerative, Regional Enteritis or Crohn's disease) or Irritable Bowel Syndrome All Submit all pertinent medical information and current status report, include duration of symptoms, name and dosage of drugs and side effects See Colitis Worksheet (PDF).

If Airman meets all certification criteria - issue.Initial Special Issuance - Requires FAA Decision

Followup Special Issuances - See AASI Protocol
Cirrhosis (Alcoholic) All See Substance Dependence/Abuse Protocol Requires FAA Decision
Cirrhosis (Non-Alcoholic) All Submit all pertinent medical records, current status report, to include history of encephalopathy; PT/PTT; albumin; liver enzymes; bilirubin; CBC; and other testing deemed necessary Requires FAA Decision
Colitis (Ulcerative, Regional Enteritis or Crohn's disease) All Submit all pertinent medical information and current status report, include duration of symptoms, name and dosage of drugs and side effects Initial Special Issuance - Requires FAA Decision

Followup Special
Issuances -
See AASI Protocol
Hepatitis All Submit all pertinent medical records, current status report to include any other testing deemed necessary If disease is resolved without sequela - Issue

Otherwise - Requires FAA Decision
Hepatitis C All Review all pertinent medical information and current status report, include duration of symptoms, name and dosage of drugs and side effects If disease is resolved without sequela - Issue.

If applicant has chronic Hepatitis C, see Hepatitis C - Chronic Worksheet (PDF). If Airman meets all certification criteria - Issue.

All others require FAA decision. Submit all evaluation data.

Initial Special Issuance - Requires FAA Decision

Followup Special
Issuances
- See AASI Protocol
Inguinal, Ventral or Hiatal Hernia All Document history and findings If symptomatic; likely to cause any degree of obstruction - Requires FAA Decision

Otherwise - Issue
Liver Transplant All Submit all pertinent medical information and current status report, include duration of symptoms, name and dosage of drugs and side effects Requires FAA Decision
Peptic Ulcer All See Peptic Ulcer Protocol Requires FAA Decision
Splenomegaly All Provide hematologic workup Requires FAA Decision