Downloaded from https://www.everyspec.com concerning the presence of progressive clinical illness or immunological deficiency in RC Soldiers may be used as a basis for administrative action under, for example, AR 135–133, AR 135–175, AR 135–178, or AR 140–10, as appropriate. (See AR 600–110 for HIV policies, including testing requirements.) 3–8. Dental diseases and abnormalities of the jaws The causes for referral to an MEB are diseases of the jaws, periodontium, or associated tissues when, following restorative surgery, there are residuals that are incapacitating or interfere with the individual’s satisfactory performance of military duty. 3–9.
Ears The causes for referral to an MEB are as follows: a. Infections of the external auditory canal when chronic and severe, resulting in thickening and excoriation of the canal or chronic secondary infection requiring frequent and prolonged medical treatment and hospitalization. b. Malfunction of the acoustic nerve. (Evaluate functional impairment of hearing under para 3–10.) c. Mastoiditis, chronic, with constant drainage from the mastoid cavity, requiring frequent and prolonged medical care. d. Mastoiditis, chronic, following mastoidectomy, with constant drainage from the mastoid cavity, requiring frequent and prolonged medical care or hospitalization. e.
Mйniиre’s syndrome or any peripheral imbalance, syndrome or labyrinthine disorder with recurrent attacks of sufficient frequency and severity as to interfere with the satisfactory performance of duty or requiring frequent or prolonged medical care or hospitalization. f. Otitis media, moderate, chronic, suppurative, resistant to treatment, and necessitating frequent and prolonged medical care or hospitalization. 3–10. Hearing Soldiers incapable of performing duty with a hearing aid will be referred for MEB processing. (See para 8-27.) 3–11. Endocrine and metabolic disorders The causes for referral to an MEB are as follows: a. Acromegaly. b. Adrenal insufficiency requiring replacement therapy.
c. Diabetes insipidus requiring the use of medication for control. d. Diabetes mellitus, unless hemoglobin A1c can be maintained at (diet, exercise). e. Goiter causing breathing obstruction. f. Gout in advanced cases with frequent acute exacerbations and severe bone, joint, or kidney damage. g . F a s t i n g h y p o g l y c e m i a ( a s d o c u m e n t e d d u r i n g a 7 2 - h o u r f a s t ) w h e n c a u s e d b y a n i n s u l i n o m a o r o t h e r hypoglycemia-inducing tumor. h. Hyperparathyroidism when residuals or complications of surgical correction such as renal disease or bony deformities preclude the reasonable performance of military duty. i. Cushing’s syndrome. j.
Osteomalacia or osteoporosis resulting in fracture with residuals after therapy of such nature or degree as to preclude the satisfactory performance of duty. k. Primary hyperaldosteronism when resulting in uncontrolled hypertension and/or hypokalemia. l. Multiple endocrine neoplasia, any type. m. Pituitary macroadenomas when resulting in hypothalamic/pituitary dysfunction or symptoms of mass effect. n. Pheochromocytoma. o. Thyroid carcinoma, any type, if persistent despite usual therapy (surgery, radioactive iodine and treatment with suppressive doses of levothyroxine). p. Hypoparathyroidism, when severe, persistent, and difficult to manage. q. Salt-wasting congenital adrenal hyperplasia. r.
Carcinoid syndrome. s. Endocrine tumors of the gastrointestinal tract, when response to therapy is unsatisfactory, or when therapy is such as to require prolonged, intensive medical supervision. Such tumors include gastrinoma, glucagonoma, vipoma, neurotensinoma, PPoma, and somatostatinoma. 3–12. Upper extremities The causes for referral to an MEB are as follows (see also para 3–14): a. Amputation. 23 AR 40–501 • 14 December 2007/RAR 10 September 2008