Guide for Aviation Medical Examiners
Decision Considerations

Updated: 3:00 pm ET May 30, 2006

Aerospace Medical Dispositions
Item 48. General Systemic - Endocrine Disorders

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
Hyperthyroidism23 All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects and current TFTs
If euthyroid and stable – Issue

Otherwise - Requires FAA Decision
Hypothyroidism23 All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects and current TFTs
If euthyroid and stable – Issue

Otherwise - Requires FAA Decision
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
23 If the applicant was previously deferred for either hyperthyroidism or hypothyroidism and was granted an Authorization for Special Issuance of a Medical Certificate, see AASI for Hyperthyroidism and/or AASI for Hypothyroidism.

3:00 pm ET May 30, 2006