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(b) The medical examination will include a full inquiry into the family and personal history of the applicant. The information obtained shall be given in a statement made and signed by him and will be taken into consideration by the medical examiner.
(c) Examination of the nervous system. The applicant shall have no history of significant mental or nervous trouble. He shall be required to be free from any mental impair- ment, or presumptive evidence of latent epilepsy. He shall be required to be free from any progressive disease of the nervous system and from any non-progressive disease of that system, the effects of which are likely to interfere with the safe handling of aircraft in flight. Cases of past or present insanity and cases in which syphilis, past or present, has affected the central nervous system will be assessed as permanently unfit.
As to injuries of the head-
(1) Cases of simple concussion, or simple fracture of the skull without associated intracranial injury will be assessed as temporarily unfit until such time as the medical examiner is satisfied that the effects of the con- cussion or fracture are no longer likely to jeopardise safety in flight,
(ii) Cases of head injury associated with intracranial injuries will be assessed as permanently unfit if a local lesion of the brain or meninges persists.
(iii) Cases of head injury in which there has been an operation on the skull with loss of bony substance involving the two tables of the cranial vault will be assessed as permanently unfit; cases repaired by plates ensuring present and future integrity of the central nervous system may be assessed as fit subject to a period of one year elapsing from the time of the repair. (d) General surgical examination.
The presence of hernia will not necessarily entail au assessment of unfitness. Cases in which the medical examiner is satisfied that a well fitting appliance will adequately control the hernia may be assessed as fit, subject to the appliance being worn by the applicant whilst exercising the privileges of the licence.
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Cuses of active disease of the bones, joints, muscles or tendons and all serious functional sequelae of con- genital or acquired disease will be assessed as unfit. Cases of certain qualifying functional after effects of lesions affecting the bones, joints, muscles or tendons and certain anatomical defects compatible with the safe handling of aircraft in flight may be assessed as fit.
Cases of sequelae of disease or surgical intervention on any part of the digestive tract and its adnexae, liable to cause sudden incapacity in flight, in particular any obstructions due to stricture or compression will be assessed as unfit.
Cases of extensive multilation of the chest wall with collapse of the thoracic cage and sequelae of surgical procedures resulting in decreased respiratory efficiency at altitude will be assessed as unfit.
Cases of sequelae of disease or surgical procedures on the kidneys and the urinary tracts liable to cause sudden incapacity, in particular any obstructions due to stricture or compression will be assessed as unfit. Cases of compensated nephrectomy without hypertension or uraemia may be assessed as lit.
An applicant who has undergone a major surgical operation on the biliary passages or the digestive tract or its adnexac, or the urinary system, which has involved a total or partial excision or a diversion of any of these organs will be assessed as unlit until such time as the medical examiner having access to the details of the operation concerned considers that the effects of the operation are not liable to cause sudden incapacity in the air.
(a) General medical examination.
The heart shall not possess any abnormality, con- genital or acquired, which is likely to interfere with the safe handling of aircraft in fight. Respiratory arrhythmia, occasional extra systoles which disappear on exercise, increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoven- tricular dissociation may be regarded as coming within "normal" limits.