Decision Considerations – Aerospace Medical Dispositions
Item 41. G-U System – General Disorders
|Congenital lesions of the kidney||All||Submit all pertinent medical information and status report||If the applicant has an ectopic, horseshoe kidney, unilateral agenesis, hypoplastic, or dysplastic and is asymptomatic - Issue
Otherwise - Requires FAA Decision
|Cystostomy and Neurogenic bladder||All||Requires evaluation, report must include etiology, clinical manifestation and treatment plan||Requires FAA Decision|
|Renal Dialysis||All||Submit a current status report, all pertinent medical reports to include etiology, clinical manifestation, BUN, Ca, PO4,Creatinine, electrolytes, and treatment plan||Requires FAA Decision|
|Renal Transplant||All||See Renal Transplant Protocol||Requires FAA Decision|
|A. eGFR 45 to 59||No symptoms or complications and the underlying cause is not disqualifying.||ISSUE
Summarize this history in Block 60.
|B. eGFR 35 to 44||See CACI worksheet.
Single kidney – DO NOT CACI
|Follow the CACI – Chronic Kidney Disease Worksheet (PDF). Annotate Block 60.|
|C. eGFR 34 or less
Symptoms or complications with any eGFR
Proteinuria 2+ or higher or ACR is 300 or higher
Single kidney with eGFR 44 or less
|Submit the following to the FAA review:
☐ Current status report from the treating physician. It should note if the condition is stable or if additional treatment or dialysis is recommended;
☐ List of medications and side effects, if any;
☐ Recent lab (within last 90 days):
☐ Imaging reports (if performed by treating physician); and
☐ Assessment by treating physician if a cardiac evaluation is warranted
Submit the information to the FAA for a possible Special Issuance.
Followup Special Issuance – Will be per the airman's Authorization Letter
|ESRD requiring dialysis or kidney transplantA||See the table above for more information.||DEFER|
Notes: eGFR is a calculated/estimated value. If additional testing shows the actual renal function is higher than the eGFR, this should be stated in the note from the treating physician.
ACR = albumin creatinine ratio