. The head: (1) Tinea in any form. (2) All tumors which are of sufficient size to interfere with the wearing 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. E. The face: (2) Unsightly deformities, such as large birthmarks, large hairy moles, extensive cicatrices, mutilations due to injuries or surgical operations, tumors, ulcerations, fistula, 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 reduced or recurrent dislocations of this joint, or ankylosis, complete or partial. e. The mouth, nose, fauces, pharynx, larynx, trachea, and œsophagus: (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 pharynx, or paralysis of the soft palate. (7) Loss of the nose, malformation, or deformities thereof that interfere with speech or breathing, or extensive ulcerations. (8) Perforated nasal septum, if progressive, or if respiration is accom- (9) Nasal obstruction due to septal deviation, hypertrophic rhinitis, or (11) Chronic atrophic rhinitis, if marked and accompanied by ozena. (13) Postnasal adenoids interfering with respiration or associated with (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 œsophagus. f. The neck: (1) Cervical adenitis of other than benign origin, including caree Hodgkin's disease, leukemia, tuberculosis, syphilis, etc. (2) Adherent and disfiguring scars from disease, injuries, or burts (3) Extensive or progressive goiter interfering with breathing or the wearing of military clothing. (4) Exophthalmic goiter, or myxoedema. (5) Thyroid enlargement from any cause associated with t symptoms. (6) Benign tumors or cysts which are so large as to interfere with wearing of a uniform or military equipment. (7) Torticollis. g. The spine: (1) Lateral deviation of the spine from the normal midline of than 2 inches (scoliosis). (2) Curvature of the spine of any degree in which function is in 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. h. The chest: (1) Deficient expansion of the chest. (3) Pronounced contractions of the chest with adhesions follow (4) Deformities of the scapulae sufficient to interfere with the car, ing of military equipment. (5) Absence or faulty development of the clavicle. (6) Old fracture of the clavicle where there is much deformity interference with the carrying of military equipment, ununits fractures, or partial or complete dislocation of either end of the clavicle. (7) Suppurative periostitis or caries or necrosis of the ribs, the sto 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 we (10) Unhealed sinuses of the chest wall following operation. 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 vessels: 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 t 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 of more days in order to determine if the arterial hypertension is constant and, if possible, the causes thereof. (1) All valvular diseases of the heart. (2) Hypertrophy or dilatation of the heart. (3) Pericarditis, endocarditis, myocarditis, or angina pectoris. (4) 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 observation and reexamination over a sufficient period of time. (5) Marked cardiac arrhythmia or irregularity. (6) Arteriosclerosis. (7) 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. (8) Aneurysm of any variety in any situation. (9) Intermittent claudication. (10) Raynaud's disease. (11) 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) Wounds, injuries, cicatrices, or muscular ruptures of the abdominal (2) Fistulae from visceral or bony lesions or following operation. (4) Large tumors of the abdominal walls. (5) Scar pain, if severe. (6) Chronic diseases of the stomach and intestines. (7) Gastroenterostomy for relief of gastric or duodenal ulcer. (8) Blood in the feces, unless shown to be due to unimportant causes. (9) Ptosis of the stomach or intestines. (10) Chronic appendicitis. (11) Chronic diseases of the liver, gall bladder, pancreas, or spleen. (12) Chronic peritonitis or peritoneal adhesions. (13) Chronic enlargement of the liver. (14) Chronic enlargement of the spleen, if marked. (15) Jaundice. (16) Proctitis or stricture of the rectum. (17) Hemorrhoids. (18) Fistula in ano. (19) Incontinence of feces. (20) 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. (2) Disease of the sacro-iliac or lumbo-sacral joints. (3) Urinary fistula. (4) Stricture or prolapse of the rectum. (5) Fissure of the anus or pruritis ani. (6) Fistula in ano or ischio-rectal abscess. (7) 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 Inade. 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 album: or casts will be analyzed on three successive days. Persistent albuminu or the persistent presence of casts in the urine is a cause for rejection, in 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 the kidney, or renal calculi, (4) Acute or chronic cystitis. (5) Vesical calculi, tumors of the bladder, incontinence of urize enuresis, or retention of urine. (6) Hypertrophy or abscess of the prostate gland, or chroni prostatitis. (7) Urethral stricture or urinary fistula. (8) Epispadias or hypospadias when the urine can not be ejected such a manner as to avoid soiling of clothing or surroundings (? when accompanied by evidence of chronic colon bacillus infes 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 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 gonorrhea 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 cares 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 deformi"; or interfere with function. (2) Atrophy of the muscles of any part, if progressive or if sufficiect (3) Benign tumors if sufficiently large to interfere with function. tion sufficient to interfere with function, old dislocations upre (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) 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. (12) Varices of any kind situated in the leg below the knee if associated with varicose ulcers or scars from old ulcerations. (13) Chronic œdema of a limb. (14) Chronic and obstinate neuralgias, particularly sciatica. (15) Deviation of the normal axis of the forearm to such a degree as to interfere with the proper execution of the manual of arms. (16) Adherent or united fingers (web fingers). (17) Permanent flexion or extension of one or more fingers, as well as irremediable loss of motion of these parts, if suflicient to interfere with proper execution of the manual of arms. (18) Total loss of either thumb. (19) Mutilation of either thumb to such an extent as to produce material loss of flexion or strength of the member. (20) Loss of more than one phalanx of the right index finger. (21) Loss of the terminal and middle phalanges of any two fingers on the same hand. (22) Entire loss of any finger except the little finger of either hand, or the ring finger of left hand. (23) Perceptible lameness or limping. (24) 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. (25) Bowlegs if so marked as to produce noticeable deformity when the applicant is dressed. (26) Clubfoot unless the defect is so slight as to produce no symptoms (27) Pes cavus if extreme and causing symptoms. (29) Loss of either great toe or loss of any two toes on the same foot. (31) Overriding or superposition of any of the toes to such a degree as will produce pain when wearing the military shoes. (32) Ingrowing toe nails when marked or painful. (33) Hallux valgus when sufficiently marked to interfere with locomo- (34) Bunions sufficiently pronounced to interfere with function. (36) Corns or callous on the sole of the foot when they are tender or (37) Hyperidrosis or bromidrosis when presented to a marked degree. (38) Habitually sodden feet with blistered skin. o. The nervous system: (1) Insanity, epilepsy, or convulsions of any character, or history thereof. (2) Idiocy, imbecility, mental deficiency, or moronism (an applicant having a mental age of 10 years or less). (3) Constitutional psychopathic states. (4) Chronic alcoholism or drug addiction. (5) Locomotor ataxia, paresis, or cerebrospinal syphilis. (6) Multiple sclerosis, syringomyelia, paralyses, paraplegia, monoplegia, hemiplegia, or hemiparesis. |