Application Process for Medical Certification - Examination Techniques
Item 38. Abdomen and Viscera

1. Observation: The Examiner should note any unusual shape or contour, skin color, moisture, temperature, and presence of scars. Hernias, hemorrhoids, and fissure should be noted and recorded.
   
   A history of acute gastrointestinal disorders is usually not disqualifying once recovery is achieved, e.g., acute appendicitis.
   
   Colostomy following surgery for cancer may be allowed by the FAA with special followup reports.
    
2. Palpation: The Examiner should check for and note enlargement of organs, unexplained masses, tenderness, guarding, and rigidity.