1955-HKRS30-8-45_Part06 — Page 10

104

(ii) Casus of bend injury in which there has been an operation on the skull with loss of bony substance involv- ing the two tables of the cranial vault will he assessed ns- permanently unfit.

(d) General surgical examination

The applicant shall be required to be completely free from hernia.

Cases 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. Cuses of functional after effects of lesions affecting the bones, joints, muscles or tendons and certain anatomical defects compatible with the safe handling of aircraft at any altitude throughout a prolonged or difficult 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 unfil.

Cases of extensive mutilation 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 fit.

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 unfit 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.

105

(e) 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. Respiratory arrhythmia, occasional extra systoles which disappear on exercise. increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoventricular dis- sociation may be regarded as coming within "normal"" limits.

The systolic and diastolic blood pressures shall be within normal limits.

There shall be no significant functional nor struc- tural abnormality of the circulatory Tree.

There shall be no acute disability of the lungs nor any active disease of the structures of the lungs, mediastinum or pleura. In the case of an examination for the first grant of a licence, radiography will form a part of the chest examination, and similar radiographic examinations will be carried out as necessary thereafter.

Cases of pulmonary emphysema will not be assessed as unfit unless the condition is causing symptoms.

་

Cases of active pulmonary tuberculosis will be assessed as unfit. Cases of quiescent or healed lesions which are known to be tuberculous, or are presumably tuber- culous in origin, may be assessed as fir. Cases of doubt about the activity of a lesion, where symptoms of activity of the disease are lacking, clinically, will be assessed as temporarily unfit for a period of not less than three months from the date of the medical examination. At the end of the three months' period, a further radio- graphic record will be made and compared carefully with the original. If there is no sign of extension of the discuse and there are no general symptoms nor symptoms referable to the chest, the applicant may be assessed as fit for a period of three months. Thereafter, provided there continues to be no sign of extension of the disease as shown by radiographic examinations carried out at the end of each three months' period, the validity of the licence will be restricted to consecutive periods of three months. When the applicant has been under observa-