Guide for Aviation Medical Examiners
Decision Considerations – Aerospace Medical Dispositions
Item 41. G-U System – General Disorders
| Disease/Condition | Class | Evaluation Data | Disposition |
|---|---|---|---|
| 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 |
| Disease/Condition | Evaluation Data | Disposition |
|---|---|---|
| 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 OR Symptoms or complications with any eGFR Proteinuria 2+ or higher or ACR is 300 or higher OR 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 | DEFER 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 transplant | 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