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United States Department of TransportationUnited States Department of Transportation

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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