Department of the Army AR 40–501 — Army Regulation 40–501 Standards of Medical Fitness Manual PDF

Downloaded from https://www.everyspec.com also the measurable effects of the wound, the location of the wound and the risk of subsequent injury related to the wound itself. (1) Prior burn injury (to include donor sites) involving a total body surface area of 40 percent or more is disqualifying. (2) Prior burn injury involving less than 40 percent total body surface area, which results in a loss or degradation of thermoregulatory function is disqualifying. Examination will focus on the depth of the burn, anatomic location (extensive burns on the torso will most significantly impair heat dissipation), and destruction of sweat glands.

(3) Prior burn injury susceptible to trauma or resulting in functional impairment to such a degree as to interfere with the satisfactory performance of military duty, due to decreased range of motion, strength, or agility due to burn wound/ scarring is disqualifying. r. Current or history of extensive scleroderma (710.1) is disqualifying. s. Tattoos (709.9) that are otherwise prohibited under AR 670–1 are disqualifying. t. Current of history of chronic or recurrent urticaria (708.8) is disqualifying. u. Current symptomatic plantar wart(s) (078.19) is disqualifying. 2–29. Spine and sacroiliac joints a.

Current or history of ankylosing spondylitis or other inflammatory spondylopathies (720) is disqualifying. (See para 2–11a.) b. Current or history of any condition, including, but not limited to the spine or sacroiliac joints, with or without objective signs that: (1) Prevents the individual from successfully following a physically active vocation in civilian life (724) or that is associated with local or referred pain to the extremities, muscular spasm, postural deformities, or limitation of motion is disqualifying. (2) Requires external support is disqualifying. (3) Requires limitation of physical activity or frequent treatment is disqualifying. c.

Current deviation or curvature of spine (737) from normal alignment, structure, or function is disqualifying if: (1) It prevents the individual from following a physically active vocation in civilian life. (2) It interferes with the proper wearing of a uniform or military equipment. (3) It is symptomatic. (4) There is lumbar scoliosis greater than 20 degrees, thoracic scoliosis greater than 30 degrees, or kyphosis and lordosis greater than 55 degrees when measured by the Cobb method. d. History of congenital fusion (756.15), involving more than two vertebral bodies is disqualifying. Any surgical fusion of spinal vertebrae (P81.0) is disqualifying. e.

Current or history of fractures or dislocation of the vertebrae (805) is disqualifying. A compression fracture, involving less than 25 percent of a single vertebra is not disqualifying if the injury occurred more than 1 year before examination and the applicant is asymptomatic. A history of fractures of the transverse or spinous processes is not disqualifying if the applicant is asymptomatic. f. History of juvenile epiphysitis (732.6) with any degree of residual change indicated by x-ray or kyphosis is disqualifying. g. Current herniated nucleus pulposus (722) or history of surgery to correct this condition is disqualifying. h.

Current or history of spina bifida (741) when symptomatic, if there is more than one vertebra level involved or with dimpling of the overlying skin is disqualifying. History of surgical repair of spina bifida is disqualifying. i. Current or history of spondylolysis (congenital (756.11) or acquired (738.4)) and spondylolisthesis (congenital (756.12) or acquired (738.4)) are disqualifying. 2–30. Systemic diseases a. Current or history of disorders involving the immune mechanism including immunodeficiencies (279) is dis- qualifying. Presence of Human Immunodeficiency Virus (HIV) or serologic evidence of infection (042) is disqualify- ing.

Positive Enzyme-Linked Immunoabsorbent Assay test(s) for HIV with ambiguous or inconclusive results on Western Blot testing is disqualifying. b . C u r r e n t o r h i s t o r y o f l u p u s e r y t h e m a t o s u s ( 7 1 0 . 0 ) o r m i x e d c o n n e c t i v e t i s s u e d i s e a s e v a r i a n t ( 7 1 0 . 9 ) i s disqualifying. c. Current or history of progressive systemic sclerosis (710.1), including CRST Variant, is disqualifying. A single plaque of localized Scleroderma (morphea) that has been stable for at least 2 years is not disqualifying. d. Current or history of Reiter’s disease (099.3) is disqualifying. e. Current or history of rheumatoid arthritis (714.0) is disqualifying.

f. Current or history of Sjцgren’s syndrome (710.2) is disqualifying. g. Current or history of vasculitis, including, but not limited to polyarteritis nodosa and allied conditions (446.0), arteritis (447.6), Behзet’s (136.1), and Wegner’s granulomatosis (446.4), is disqualifying. 16 AR 40–501 • 14 December 2007