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c. The head:

(1) Tinea in any form.
(2) All tumors which are of sufficient size to interfere with the wear.

ing of military headgear.
(3) Imperfect ossification of the cranial bones, or persistence of the

anterior fontanelles. (4) Extensive cicatrices, especially such adherent scars as show a

tendency to break down and ulcerate. (5) Depressed fractures or depressions, or loss of bony substance of

the skull, unless the examiner is certain the defect is slight and

will cause no future trouble. (6) Monstrosity of the head, or hydrocephalus. (7) Hernia of the brain. (8) Deformities of the skull of any degree associated with evidence of

disease of the brain, spinal cord, or peripheral nerves. d. The face:

(1) Extreme ugliness.
(2) Unsightly deformities, such as large birthmarks, large hairy moles,

extensive cicatrices, mutilations due to injuries or surgical opera-
tions, tumors, ulcerations, fistulæ, atrophy of a part of the face

or lack of symmetrical development. (3) Persistent neuralgia, tic doloreux, or paralysis of central nervous

origin. (4) Ununited fractures of the maxillary bones, deformities of either

maxillary bone interfering with mastication or speech, extensive

exostosis, caries, necrosis, or osseous cysts. (5) Chronic arthritis of the temporo-maxillary articulation, badly re

duced or recurrent dislocations of this joint, or ankylosis, com

plete or partial. e. The mouth, nose, fauces, pharynx, larynx, trachea, and a sophagus: (1) Harelip, loss of the whole or a large part of either lip, unsightly

mutilations of the lips from wounds, burns, or disease. (2) Malformation, partial loss, atrophy or hypertrophy of the tongue,

split or bifid tongue, or adhesions of the tongue to the sides of the mouth, provided these conditions interfere with mastication,

speech, or swallowing, or appear to be progressive. (3) Malignant tumors of the tongue, or benign tumors that interfere

with its functions. (4) Marked stomatitis, or ulcerations, or severe leukoplakia. (5) Ranula if at all extensive, or salivary fistula. (6) Perforation or extensive loss of substance or ulceration of the hard

or soft palate, extensive adhesions of the soft palate to the phar

ynx, or paralysis of the soft palate. (7) Loss of the nose, malformation, or deformities thereof that inter

fere with speech or breathing, or extensive ulcerations. (8) Perforated nasal septum, if progressive, or if respiration is accom

panied by a noticeable whistling sound. Before accepting any applicant with a perforated nasal septum the possibility of syph

ilitic infection will be excluded. (9) Nasal obstruction due to septal deviation, hypertrophic rhinitis, or

other causes, if sufficient to produce mouth breathing. (10) Acute or chronic inflammation of the accessory sinuses of the nose,

or hay fever. (11) Chronic atrophic rhinitis, if marked and accompanied by ozena. (12) Malformations and deformities of the pharynx of sufficient degree

to interfere with function. (13) Postnasal adenoids interfering with respiration or associated with

progressive middle-ear disease.
(14) Chronic enlargement of the tonsils sufficient to interfere with

speech or swallowing,
(15) Chronic laryngitis from any cause.
(16) Paralysis of the vocal cords, or aphonia.
(17) Tracheotomy.
(18) Stricture or pronounced dilation of the oesophagus.

f. The neck: (1) Cervical adenitis of other than benign origin, including cancer,

Hodgkin's disease, leukemia, tuberculosis, syphilis, etc. (2) Adherent and disfiguring scars from disease, injuries, or burns. (3) Extensive or progressive goiter interfering with breathing or with

the wearing of military clothing. (4) Exophthalmic goiter, or myxoedema. (5) Thyroid enlargement from any cause associated with toxie

symptoms. (6) Benign tumors or cysts which are so large as to interfere with the

wearing of a uniform or military equipment. (7) Torticollis. 9. The spine: (1) Lateral deviation of the spine from the normal midline of more

than 2 inches (scoliosis). (2) Curvature of the spine of any degree in which function is inter

fered with, or in which there is noticeable deformity when the

applicant is dressed (scoliosis, kyphosis, or lordosis).
(3) Fractures or dislocations of the vertebræ.
(4) Vertebral caries (Pott's disease).
(5) Abscess of the spinal column or its vicinity.
(6) Osteoarthritis of the spinal column, partial or complete.

(7) Fracture of the coccyx. h. The chest:

(1) Deficient expansion of the chest.
(2) Congenital malformations or acquired deformities which result in

reducing the chest capacity and diminishing the respiratory
functions to such a degree as to interfere with vigorous physical
exertion, or that produce disfigurement when the applicant is

dressed. (3) Pronounced contractions of the chest with adhesions following

pleurisy or empyema. (4) Deformities of the scapulae sufficient to interfere with the carry

ing of military equipment. (5) Absence or faulty development of the clavicle. (6) Old fracture of the clavicle where there is much deformity or

interference with the carrying of military equipment, ununited fractures, or partial or complete dislocation of either end of the

clavicle. (7) Suppurative periostitis or caries or necrosis of the ribs, the ster

num, the clavicles, or the scapulae. (8) old fractures of the ribs with faulty union, if interfering with.

function. (9) Tumors of the breast or chest wall which interfere with the wear

ing of a uniform or of military equipment. (10) Unhealed sinuses of the chest wall following operation. (11) Scars of old operations for empyema unless the examiner is

assured that the respiratory function is entirely normal. i. The lungs:

(1) Active pulmonary tuberculosis.
(2) Inactive pulmonary tuberculosis, if extensive.
(3) Acute or chronic pleurisy, or empyema.
(4) Pneumothorax or hydrothorax.
(5) Chronic bronchitis, chronic pneumonia, pulmonary emphysema,

asthma, or bronchiectasis.
(6) Actinomycosis, hydatid cysts, or abscess of the lung.

(7) Tumor of lungs, pleura or mediastinum. j. The heart and blood ressels:

All questionable findings will be thoroughly investigated over a sufficient period of time to determine their significance. Any evidences of organic heart disease will be considered as cause for rejection. When a candidate is found to have a systolic blood pressure of 140 mm. or more, or a diastolic blood pressure of 90 mm. or more, a series of readings will be taken over a period of three or

re days in order to determine if the arterial hypertension is constant and, Possible, the causes thereof.

(1)
(2)
(3)
(4)

(5) (6) (7)

(8) (9 (10) (11)

All valvular diseases of the heart.
Hypertrophy or dilatation of the heart.
Pericarditis, endocarditis, myocarditis, or angina pectoris.
A heart rate of 100 or over, or of 50 or under, when these are
proved to be persistent in the recumbent posture and on observa-
tion and reexamination over a sufficient period of time.
Marked cardiac arrhythmia or irregularity.
Arteriosclerosis.
A persistent Systolic blood pressure of 140 mm. or more, or a
persistent diastolic blood pressure of 90 mm. or more, or an
unstable blood pressure.
Aneurysm of any variety in any situation.

) Intermittent claudication.

Raynaud's disease.

Thrombophlebitis of one or more extremities if there is a persistence of the thrombus or any evidence of obstruction to circulation in the involved vein or veins.

k. The abdomen:

(1)

(20)

Wounds, injuries, cicatrices, or muscular ruptures of the abdominal walls sufficient to interfere with function.

Fistulae from visceral or bony lesions or following operation.

Hernia of any variety.

Large tumors of the abdominal walls.

Scar pain, if severe.

Chronic diseases of the stomach and intestines.

Gastroenterostomy for relief of gastric or duodenal ulcer.

Blood in the feces, unless shown to be due to unimportant causes.

Ptosis of the stomach or intestimes.

Chronic appendicitis.

Chronic diseases of the liver, gall bladder, pancreas, or spleen.

Chronic peritonitis or peritoneal adhesions.

Chronic enlargement of the liver.

Chronic enlargement of the spleen, if marked.

Jaundice.

Proctitis or stricture of the rectum.

Hemorrhoids.

Fistula in ano.

) Incontinence of feces.

Uncinariasis, if attended with marked anemia or other evidence of grave constitutional disturbance.

l. The pelvis, including the sacro-iliac and lumbo-sacral joints:

(1)

Malformation and deformities of the pelvis sufficient to interfere with function.

Disease of the sacro-iliac or lumbo-sacral joints.

Urinary fistula.

Stricture or prolapse of the rectum.

Fissure of the anus or pruritis ani.

Fistula in ano or ischio-rectal abscess.

External hemorrhoids sufficient in size to produce marked symptoms. Internal hemorrhoids, if large or accompanied by hemorrhage or protruding intermittently or constantly.

m. The genito-urinary system, including venereal diseases:

The Wassermann test will be required for all candidates. If facilities exist at the station where the examination is conducted the Kahn test will also be made. Whenever a single or a double plus Wassermann reaction or a 3-plus

or a 4-plus

Kahn reaction is obtained, a second test will be made. If the

second test be negative, a third test will be performed. Two single-plus or double-plus Wassermann reactions or two 3-plus or 4-plus Kahn reactions are cause for rejection.

If albumin or casts are found in the urine, the cause will be determined, if possible. In the absence of demonstrable cause urine containing albumin or casts will be analyzed on three successive days. Persistent albuminuria or the persistent presence of casts in the urine is a cause for rejection, eren though the cause thereof can not be determined.

(1) Acute or chronic nephritis, or diabetes mellitus or insipidus.
(2) Blood, pus, albumin, or casts in the urine, if persistent.
(3) Floating kidney, hydronephrosis, pyonephrosis, pyelitis, tumors of

the kidney, or renal calculi.
(4) Acute or chronic cystitis.
(5) Vesical calculi, tumors of the bladder, incontinence of urine,

enuresis, or retention of urine. (6) Hypertrophy or abscess of the prostate gland, or chronie

prostatitis. (7) ['rethral stricture or urinary fistula. (8) Epispadias or hypospadias when the urine can not be ejected in

such a manner as to avoid soiling of clothing or surroundings or when accompanied by evidence of chronic colon bacillus infer

tion of the genito-urinary tract. (9) Phimosis when prepuce is adherent in whole or in part to the

glans. (10) Hermaphroditism. (11) Amputation of the penis if it interferes with micturition. (12) Varicocele, if large and painful, or hydrocele if large. (13) Pronounced atrophy of both testicles or loss of both. (14) Undescended testicle when the organ is in the inguinal canal of

when outside the canal and lying against the pubic bone.

Infantile genital organs. (15) Chromic orchitis or epididymitis. (16) Syphilis in any stage. (17) Gonococcus infections, acute or chronic (including gonorrheal

arthritis), chancroids, or buboes. n. The extremities:

Suitable exercise will be employed to determine the strength of the arches of the feet. Weak or painful feet are a cause for rejection regardless of whether or not the arch is flattened. In reporting the presence of flat feet a careful estimate of the degree of flattening as first, second, or third degree will be made and reported, as well as other abnormalities, such as eversion, rotation, etc.

(1) All anomalies in the number, the form, the proportion, and the

movements of the extremities which produce noticeable deformity

or interfere with function. (2) Atrophy of the muscles of any part, if progressive or if sufficient

to interfere with function. (3) Benign tumors if sufficiently large to interfere with function. (4) Ununited fractures, fractures with shortening or callous forma

tion sufficient to interfere with function, old dislocations unreduced or partially reduced, complete or partial ankylosis of a joint, or relaxed articular ligaments permitting of frequent

voluntary or involuntary displacement. (5) Reduced dislocations or united fractures with incomplete restora.

tion of function, (6) Amputation of any portion of a limb, except fingers or toes, or

resection of a joint. (7) Excessive curvature of a long bone or extensive, deep, or adherent

scars interfering with motion. (8) Severe sprains. (9) Diseases of the bones or joints. (10) Chronic synovitis, or floating cartilage, or other internal derange

ment in a joint.

(11)

(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)

(20)
(21)

(22)
(24)

(25)
(26)

(27) (28)

(29)
(30)
(31)

(32)
(33)

(34)
(35)

(36)

(37)
(38)

Varicose veins in an extremity when they cover a large area or
are markedly tortuous or much dilated, or are associated with
oedema, varicocele, or hemorrhoids, or are accompanied by
subjective symptoms. -
Varices of any kind situated in the leg below the knee if associated
with varicose ulcers or scars from old ulcerations.
Chronic oedema of a limb.
Chronic and obstinate neuralgias, particularly sciatica.
Deviation of the normal axis of the forearm to such a degree as to
interfere with the proper execution of the manual of arms.
Adherent or united fingers (web fingers).
Permanent flexion or extension of one or more fingers, as well as
irremediable loss of motion of these parts, if sufficient to inter-
fere with proper execution of the manual of arms.
Total loss of either thumb.
Mutilation of either thumb to such an extent as to produce material
loss of flexion or strength of the member.
Loss of more than one phalanx of the right index finger.
Loss of the terminal and middle phalanges of any two fingers on
the same hand.
Entire loss of any finger except the little finger of either hand, or
the ring finger of left hand.
Perceptible lameness or limping.
Knock-knee when the applicant is unable to take the position of a
soldier, when the gait is clumsy or ungainly, or when subjective
symptoms of weakness are present.
Bowlegs if so marked as to produce noticeable deformity when the
applicant is dressed. -
Clubfoot unless the defect is so slight as to produce no symptoms
during vigorous exercise.
Pes cavus if extreme and causing symptoms.
Flat foot when accompanied with symptoms of weak foot or when
the foot is weak on test. Pronounced cases of flat foot attended
with decided eversion of the foot and marked bulging of the
inner border, due to inward rotation of the astragalus, are dis-
qualifying regardless of the presence or absence of subjective
symptoms.
Loss of either great toe or loss of any two toes on the same foot.
Webbing of all the toes.
Overriding or superposition of any of the toes to such a degree as
will produce pain when wearing the military shoes.
Ingrowing toe nails when marked or painful.
Hallux valgus when sufficiently marked to interfere with locomo-
tion or when accompanied with a painful bunion.
Bunions sufficiently pronounced to interfere with function.
Hammer toes when existing to such a degree as to interfere with
function when wearing the military shoe.
Corns or callous on the sole of the foot when they are tender or
painful.
Hyperidrosis or bromidrosis when presented to a marked degree.
Habitually sodden feet with blistered skin.

0. The nervous system:

(1)
(2)

Insanity, epilepsy, or convulsions of any character, or history
thereof.
Idiocy, imbecility, mental deficiency, or moronism (an applicant
having a mental age of 10 years or less).
Constitutional psychopathic states.
Chronic alcoholism or drug addiction.
Locomotor ataxia, paresis, or cerebrospinal syphilis.
Multiple sclerosis, syringomyelia, paralyses, paraplegia, mono-
plegia, hemiplegia, or hemiparesis.

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