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Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 48. General Systemic - Endocrine Disorders

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Acromegaly All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects
Requires FAA Decision
Addison's Disease All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects
Requires FAA Decision
Cushing's Disease or Syndrome All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects
Requires FAA Decision
Hypoglycemia, whether functional or a result of pancreatic tumor All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects
Requires FAA Decision
Hyperparathyroidism All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects, and current serum calcium and phosphorus levels
If status post-surgery, disease controlled, stable and no sequela - Issue

Otherwise - Requires FAA Decision
Hypoparathyroidism All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects and current serum calcium and phosphorus levels
Requires FAA Decision
Hyperthyroidism All Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects and current TFTs Initial Special Issuance - Requires FAA Decision

See AASI Hyperthyroidism
Hypothyroidism All Review all pertinent medical records; current status to include names and dosage of medication(s) and side effects and current TFTs See CACI - Hypothyroidism 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
Proteinuria & Glycosuria All Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects Trace or 1+ protein and glucose intolerance ruled out - Issue

Otherwise - Requires FAA Decision

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