Thorax (size, shape, movement, rib cage, mediastinum) ———————————————————— Normal
Respiratory system, bronchi, lungs, pleura, etc. ———————————————————— Normal
Cardio-vascular system ———————————————————— Normal
Heart (note all signs of cardiac involvement) ———————————————————— Normal
Pulse: Before exercise 88 Blood pressure: Before, S 120, D 80
After exercise 108 Three minutes after, S 110, D 80
Three minutes after 96 (Manual of the Medical Department par. 1520(6))
Condition of arteries Normal Character of pulse Full & Regular
Condition of veins Normal Hemorrhoids None
Abdomen and pelvis (condition of wall, scars, herniae, abnormality of viscera) ———————————————————— Appendectomy 1930
Genito-urinary system Normal
Urinalysis: Sp. gr. 1.024, alb. Neg., sugar Neg., microscopical —
Venereal disease None
Nervous system Normal (Organic or functional disorders)
Romberg Negative Incoordination (gait, speech) Normal
Reflexes, superficial Normal, deep (knee, ankle, elbow) Normal Tremors None
Serological tests (when required) Not required
Abnormal psyche (neurasthenia, psychasthenia, depression, instability, worries) None
Smallpox vaccination { Date last vaccination 9-21-42 Typhoid prophylaxis { Number of courses Two.
Reaction Immune Date of last course 2-18-38
Remarks on abnormalities not otherwise noted or sufficiently described above None
Summary of defects Defective vision both eyes 18/20, corrected to 20/20, NCD.
Is the individual fit to perform active duty at sea or on foreign service? (If not, state limit of duty) Yes
Findings and recommendations (as per Courts and Boards, when necessary) Examined and found physically qualified for transfer to regular Navy and permanent rank.
A. H. VAUGHN, LT. COMDR. (MC) USNR
P. R. CRONLUND, LT. (MC) USNR
Remarks or endorsement ————————————————————
INSTRUCTIONS: Be definite in statement and specific in recommendation. All abnormal conditions shall be given diagnostic titles as listed in Navy Nomenclature. The original only shall be forwarded direct to the Bureau of Medicine and Surgery except in cases of personnel of the Naval Reserve when the original and one copy shall be forwarded via the Commandant. Regarding preliminary examinations for the Naval Academy, see paragraph 1403, and for color perception, paragraph 1428, Manual of the Medical Department, U. S. Navy. The spoken voice (ordinary conversation) shall be recorded in all cases of defective hearing. In recording vision, the numerator of the fraction shall be the distance at which Snellen’s 20-foot test letters can be determined and the denominator, 20.
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