Endocrine Disorders : What to Expect at the Flight Physical

Item 48: FAA Policies on the Airman Medical Exam

Apr 2014

Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide pages 156-157, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).


FAA Considerations: Item 48. General Systemic - Endocrine Disorders

Hormonal Disorders

Diseases of the Endocrine System

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 Hypothyroidism Worksheet (2013 PDF version). 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


This page discussed the Endocrine Disorders portion of the Gerneral Systemic section of the Fight Physical Examination required of pilots.


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