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 See Hypoparathyroidism disposition table See disposition table
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
Hypothyroid or Hypothyroidism (Including Hashimoto’s Disease) All See Hypothyroid Disposition Table See disposition table
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
Last updated: Wednesday, May 31, 2023