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c. The head:
(1) Tinea in any form.
ing of military headgear.
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.
extensive cicatrices, mutilations due to injuries or surgical opera-
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.
speech or swallowing,
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).
(7) Fracture of the coccyx. h. The chest:
(1) Deficient expansion of the chest.
reducing the chest capacity and diminishing the respiratory
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.
asthma, or bronchiectasis.
(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.
(5) (6) (7)
(8) (9 (10) (11)
All valvular diseases of the heart.
) Intermittent claudication.
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:
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 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.
Proctitis or stricture of the rectum.
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:
Malformation and deformities of the pelvis sufficient to interfere with function.
Disease of the sacro-iliac or lumbo-sacral joints.
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.
the kidney, or renal calculi.
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.
Varicose veins in an extremity when they cover a large area or
0. The nervous system:
Insanity, epilepsy, or convulsions of any character, or history