Downloaded from https://www.everyspec.com d. Current hematuria (599.7), pyuria, or other findings indicative of urinary tract disease (599) is disqualifying. e. Current urethral stricture (598) or fistula (599.1) is disqualifying. f. Kidney. (1) Current absence of one kidney, congenital (753.0) or acquired (V45.73) is disqualifying. (2) Current pyelonephritis (chronic or recurrent) (590.0) or any other unspecified infections of the kidney (590.9) is disqualifying. (3) Current or history of polycystic kidney (753.1) is disqualifying. (4) Current or history of horseshoe kidney (753.3) is disqualifying. (5) Current or history of hydronephrosis (591) is disqualifying.
(6) Current or history of acute (580) or chronic (582) nephritis of any type is disqualifying. g. Current or history of proteinuria (791.0) (greater than 200 milligrams (mg)/24 hours; or a protein to creatinine ratio greater than 0.2 in a random urine sample, if greater than 48 hours after strenuous activity) is disqualifying, unless consultation determines the condition to be benign orthostatic proteinuria. h. Current or history of urolithiasis (592) within the preceding 12 months is disqualifying. Recurrent calculus, nephrocalcinosis, or bilateral renal calculi at any time, is disqualifying. 2–16. Head a.
Uncorrected deformities of the skull, face, or mandible (754.0) of a degree that would prevent the individual from wearing a protective mask or military headgear are disqualifying. b. Loss or absence of the bony substance of the skull (756.0 or 738.1) not successfully corrected by reconstructive materials, or leaving residual defect in excess of 1 square inch (6.45 centimeter (cm)2) or the size of a 25 cent piece is disqualifying. 2–17. Neck a. Current symptomatic cervical ribs (756.2) are disqualifying. b. Current or history of congenital cysts (744.4) of branchial cleft origin or those developing from remnants of the thyroglossal duct, with or without fistulous tracts, is disqualifying. c.
Current contraction (723) of the muscles of the neck, spastic or non-spastic, or cicatricial contracture of the neck, to the extent that it interferes with the proper wearing of a uniform or military equipment or is so disfiguring as to interfere with or prevent satisfactory performance of military duty, is disqualifying. 2–18. Heart a. Current or history of all valvular heart diseases, congenital (746) or acquired (394), including those improved by surgery, are disqualifying. Mitral valve prolapse or bicuspid aortic valve is not disqualifying unless there is associated tachyarrhythmia, mitral regurgitation, aortic stenosis, insufficiency, or cardiomegaly. b.
Current or history coronary heart disease (410) is disqualifying. c. Current or history of symptomatic arrhythmia or electrocardiographic evidence of arrhythmia. (1) Current or history of supraventricular tachycardia (427.0), or any arrhythmia originating from the atrium or sinoatrial node, such as atrial flutter, and atrial fibrillation, unless there has been no recurrence during the preceding 2 years while off all medications, is disqualifying. Premature atrial or ventricular contractions sufficiently symptomatic to require treatment, or result in physical or psychological impairment, are disqualifying.
(2) Current or history of ventricular arrhythmias (427.1), including ventricular fibrillation, tachycardia, or multifocal premature ventricular contractions, is disqualifying. Occasional asymptomatic unifocal premature ventricular contrac- tions are not disqualifying. (3) Current or history of ventricular conduction disorders, including, but not limited to disorders with left bundle branch block (426.2), Mobitz type II second degree atrioventricular (AV) block (426.12), and third degree AV block (426.0). and Lown-Ganong-Levine-Syndrome (426.81) associated with an arrhythmia are disqualifying.
Current or history of Wolff-Parkinson-White Syndrome (426.7), unless it has been successfully ablated for a period of 2 years without recurrence of arrhythmia and now with a normal electrocardiogram, is disqualifying. (4) Current or history of conduction disturbances such as first degree AV block (426.11), left anterior hemiblock (426.2), right bundle branch block (426.4), or Mobitz type I second degree AV block (426.13) are disqualifying when symptomatic or associated with underlying cardiovascular disease. d. Current cardiomegaly, hypertrophy or dilatation of the heart (429.3) are disqualifying. e.
Current or history of cardiomyopathy (425), including myocarditis (422), or congestive heart failure (428), is disqualifying. f. Current or history of pericarditis (420) (acute nonrheumatic), unless the individual is free of all symptoms for 2 years, and has no evidence of cardiac restriction or persistent pericardial effusion, is disqualifying. g. Current persistent tachycardia (785.1) (resting pulse rate of 100 beats per minute or greater) is disqualifying. 11 AR 40–501 • 14 December 2007