APPENDIX C ADDITIONAL CAUSES FOR PHYSICAL DISQUALIFICATION. a. In general: (SEE PAR. 43) (1) Any deformity which is repulsive or which prevents the proper functioning of any part to a degree interfering with military efficiency. (2) Obesity when so marked as to interfere with marching or military duties. (3) A height of more than 78 inches. (4) Deficient muscular development. (6) Evidences of physical characteristics of congenital asthenia. The (7) All acute communicable diseases. (8) All diseases and conditions which are not easily remediable or b. The skin: (b) Severe uncinariasis. (c) Tuberculosis, of whatever degree and whether general or localized. (d) Leprosy and actinomycosis. (e) Pellagra and beriberi. (f) Recurrent attacks of rheumatic fever, chronic articular rheumatism, and chronic arthritis. (g) Cellulitis and osteomyelitis. (h) Malignant disease of all kinds in any location. (i) Hemophilia and purpura. (j) Leukemia of all types. (k) Pernicious anemia. (1) Splenic anemia. (m) Filariasis and trypanosomiasis. (n) Diabetes mellitus or insipidus. (0) Acromegaly, gigantism, myxoedema, cretinism, Addi son's disease, and other endocrine diseases. (p) Chronic metallic poisoning. (1) Eczema of long standing or which is rebellious to treatment. (3) Actinomycosis, dermatitis herpetiformis, or mycosis fungoides. (5) Acne upon face or neck which is so pronounced as to amount to (6) Elephantiasis. (7) Pediculosis or scabies. (8) Carbuncle. (9) Ulcerations of the skin not amenable to treatment, or those of long standing, or of considerable extent, or of syphilitic or malignant origin. (10) Extensive, deep, or adherent scars that interfere with muscular movements or with the wearing of military equipment, or that show a tendency to break down and ulcerate. (11) Nævi and other erectile tumors, if extensive, disfiguring, or exposed to constant pressure. (12) Obscene, offensive, or indecent tattooing on portions of the body subject to exposure. c. 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. d. The face: (1) Extreme ugliness. (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. 1. The neck: (1) Cervical adenitis of other than benign origin, including cancer, (2) Adherent and disfiguring scars from disease, injuries, or burns. (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. g. 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 interfered 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. (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 carrying 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 sternum, 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 wearing 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 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 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 days in order to determine if the arterial hypertension is constant and, sible, 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. 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. 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. . The genito-urinary system, including venereal diseases: he Wassermann test will be required for all candidates. If facilities exist the station where the examination is conducted the Kahn test will also be de. Whenever a single or a double plus Wassermann reaction or a 3-plus a 4-plus Kahn reaction is obtained, a second test will be made. If the ond test be negative, a third test will be performed. Two single-plus or ible-plus Wassermann reactions or two 3-plus or 4-plus Kahn reactions are ise 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, even 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 chronic prostatitis. (7) Urethral 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 infection 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 or 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 (3) Benign tumors if sufficiently large to interfere with function. (5) Reduced dislocations or united fractures with incomplete restora- (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. |