See more at in a nutshell any

This preview shows page 2 - 3 out of 3 pages.

See more at : In a nutshell, any history of asthma up until the previous 3 years can be qualified if you can prove that the applicant has not had any asthma symptoms of any kind in the past 3 years and has not used any medications whatsoever for any asthma-like symptoms in the past 3 years. The burden of proof is too make sure you get every medical visit of any kind for the past 3 years. Even if the applicant stubbed his toe, get the records ! ] e. Chronic obstructive pulmonary disease (491). (1) Current or history of bullous or generalized pulmonary emphysema (492) . [ The alveolar are minute in size, there are 170 alveoli in one cubic millimeter of lung tissue. If they rupture, they form slightly larger air spaces called blebs, like tiny blisters, smaller than 1 cm, usually seen in the apices of the lungs in 6% of healthy people. However, blebs are more frequent in lower BMI <22 smokers. This might be the very first step in developing emphysema and chronic lung disease (COPD). When blebs rupture, they form larger bulla >1 cm (pl bullae), forming bullous disease which is the first step in developing emphysema, and increasing the risk for spontaneous pneumothorax. They are easier seen by CT scans. Large upper zone bullae have been reported in marijuana smokers (bullous emphysema) ] (2) Current bronchitis (490) , acute or chronic symptoms over 3 months occurring at least twice a year (491). [ Asthma has to be excluded in recurrent bronchitis, particularly after the age of 13 ] f. Current or history of bronchiectasis (494) . Bronchiectasis during the first year of life is not disqualifying if there are no residual or sequelae. g. Current or history of bronchopleural fistula (510.0) , unless resolved with no sequelae. [ This is a fistula between the pleural space and the bronchial tree, usually from a lung abscess or empyema draining through a bronchus. This condition is rare and most commonly due to a complication after lung surgery ] h. Current chest wall malformation (754.89) , including but not limited to pectus excavatum (754.81) or pectus carinatum (754.82) , if these conditions interfere with vigorous physical exertion . [ For any pectus that appears more than mild to moderate, order a Haller Index by CT or CXR. An indes of 3 or higher is severe and is disqualifying. You need to evaluate their exercise tolerance, as most of
Image of page 2
them cannot run at normal speeds over 1 ½ miles, they just run out of steam, although applicants often will tell you that they “ran cross-country” in high school. It helps if their recruiter can submit their time from a AFPT 2-MILE run test, they need a score of 60 or higher to pass. Otherwise, consider a pulmonology consult with a CPEX (Cardiopulmonary exercise testing) Otherwise, document in the 2807-1 history box a detail account of their stated exercise capabilities, obtaining any supporting documentation from their school and coaches ] i. History of empyema (510.9).
Image of page 3

You've reached the end of your free preview.

Want to read all 3 pages?

  • Fall '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors