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GU Issues: Urinary System

FAA Guidance on the Exam

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Excerpts from AME Guide
Decision Considerations


Aerospace Medical Dispositions


Exam-Guide


Body Area Index
AME Guide
CFR Part 67 Index
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Skull with Sinuses

Aerospace Medical Dispositions
Item 41. G-U System - Urinary System


Note: A history of recent or significant hematuria requires further evaluation.
Disease/Condition Class Evaluation Data Disposition
Hydronephrosis with impaired renal function All Submit all pertinent medical information and status report Requires FAA Decision
Nephrectomy (non-neoplastic) All Submit all pertinent medical information and status report If the remaining kidney function and anatomy is normal, without other systemic disease, hypertension, uremia, infection of the remaining kidney - Issue

Otherwise - Requires FAA Decision
Nephrocalcinosis All Submit all pertinent medical information and status report If calculus is not in collecting system or renal pelvis - Issue

Otherwise - Requires FAA Decision
Calculus*

Renal - Single episode
All Submit current metabolic evaluation and status report If there is no residual calculi and the metabolic workup is negative - Issue

Otherwise - Requires FAA Decision
Renal – Multiple episodes or Retained Stones All Submit current metabolic evaluation and status report Initial Special Issuance - Requires FAA Decision

Followup Special Issuance’s -
See AASI Protocol
Ureteral or Vesical All Single episode and no retained calculi, submit current metabolic evaluation and status report (Ureteral stent is acceptable if functioning without sequela) If metabolic workup is negative and there is no sequela or retained calculi - Issue

Otherwise - Requires FAA Decision
* Complete studies to determine the possible etiology and prognosis are essential to favorable FAA consideration. Determining factors include site and location of the stones, complications such as compromise in renal function, repeated bouts of kidney infection, and need for therapy. Any underlying disease will be considered. The likelihood of sudden incapacitating symptoms is of primary concern. Report of imaging studies (KUB, IVP, or spiral CT) must be submitted in order to conclude that there are no residual or retained calculi.

Other Categories of Genito-Urinary Issues for Aviators:


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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

Go Find an AME

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