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GENERAL MEDICAL AND SURGICAL


                                             ASSESSMENT





             Every candidate must conform to the minimum standards laid down in the
            succeeding paragraphs. The general build should be well developed and

            proportionate.



            Surgical Sequelae and Abnormalities



            Sequelae of Fractures/ Old injuries. The residual effects of such fractures/

            injuries are to be assessed for any functional limitation. If there is no effect
            on function, the candidate can be assessed fit. Cases of old fractures of

            spine are unfit. Any residual deformity of spine or compression of a vertebra
            will be cause for rejection. Injuries involving the trunks of the larger nerves,

            resulting in loss of function, or scarring, which cause pain or cramps,
            indicate unsuitability for employment in flying duties. The presence of large

            or multiple keloids will be cause for rejection.



             Scars and Birth Marks. Minor scars for e.g. as resulting from the removal
            of tuberculous glands do not, per se, indicate unsuitability for employment

            on flying duties. Extensive scarring of a limb or torso that may cause
            functional limitation or unsightly appearance should be considered unfit.



            Cervical Rib. A well fully developed unilateral cervical rib or a rudimentary

            large cervical rib with signs or symptoms referable to the rib is a cause for
            rejection. Rudimentary small cervical rib without signs or symptoms referable

            to it may be considered fit. However, the defect is to be recorded as a minor
            disability in the medical board proceedings. Bilateral cervical ribs without any

            neurovascular compromise will be acceptable.



            Asymmetry of the face and head, which will interfere with proper fitting of
            oxygen mask and helmet, will be a cause for rejection for flying duties.



             History relating to operations. A candidate who has undergone an

            abdominal operation, other than a simple appendicectomy, involving
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