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soil IS'N'l"! 
 
TREASURY DEPARTMENT 
 UNITED STATES COAST GUARD 
 
 PHYSICAL REQUIREMENTS 
 
 FOR SERVICE IN THE 
 
 UNITED STATES 
 COAST GUARD 
 
 JULY.. 1916 
 
 COVXRS.Mt.NT PKlMRSi, o( I 
 
TREASURY DEPARTMENT 
 UNITED STATES COAST GUARD 
 
 PHYSICAL REQUIREMENTS 
 
 FOR SERVICE IN mE 
 
 UNITED STATES 
 COAST GUARD 
 
 JULY. 1916 
 
 WA3HINCTON 
 
 GOVERNMENT PRINnNG OfnCE 
 
 1416 
 

 ^M0^^ 
 
RULES GOVERNING PHYSICAL EXAMINATION OF APPLICANTS FOR 
 ENLISTMENT, REENLISTMENT, ETC. 
 
 WasMnyton, July (J, lUlH. 
 
 'I'lii* followiiijj nili'H (»o\iMiiiiig tlie plivsiriil exuiiiinatioii of appli- 
 
 < iiit.s for enliiittiti'nt uiul rii'iilistiiifiit ui>d fur pruiiiotioii to tlio gnuic 
 
 of u an lint oHiii-r in the I'liited Stutva Coii^t Giianl tin* ]Mililislii*(I for 
 
 tlu* infonuutioii iiiul );iiitluiiL-« of enliMiiig uflicert>. incdirnl of)ict■l-!^, 
 
 Mini ..II .,tl..T. '...,...,1 
 
 BYRON B. NEWTON. 
 
 A»m»t(int .Sfrntiiri/. 
 
 I. ICiilUdiii: iitllivrH mIiiiII fXcrt'lM- tli>- i;r<-iilf»t •iin- iiot t>> ruiiiii>t (tie 
 liliyliiil fxuiiiiimlloii vt a|>|>lli'uiiu u lui tmvi- tllM|uullO li'K (IffvclH Ituit mUuuUI 
 Ih.> fvlik'iit to uiiyouc tiuvliiK u kiiuvvlitlKV uf IIm* quiilltk-ulluiu) MtMciitlal fur 
 ■ 'iilittiiHMit 111 tilt' ('•HiKt (iimril. 
 
 L*. After an n|>ptU-iiiit'ii chnrni-ter biiH Ixt-u liiviiitlgntnl nud hU kiio\vli><lt;e 
 
 : I'^iikIIkIi ti-!4t<-<l. uH nniulritl l>.v fXlHtliiu rv;;iilulli>ikM. niiil lM>tli luiv<- Ikimi fuuixl 
 
 iilifiirior.v. Ik- uIII Iw rxuinliwd fiirllicr In tlio iimuiMT iin-xrIlMil lu-n-lii. 
 
 :i. Whi-ii prui'tlcnlilf, tli>> ii|>|iHiiiiit mIkhiIiI Im- rrqulntl lu (iikc u bntli liiiliie- 
 
 : ilfly b««f<>ri- iiri-M'tilliii; liliiutelf fur liutim-ttuii. 
 
 I. An It I.M uf tlu* utiiHwt lin|M>rtun<-o that an-e|>liil appltrtinttt nhall Im> ■uilt- 
 
 rliMiity liiirlllKiMit to iHTroriii the ilutlt>?t rii|itlr<il uf iIm-iii In tlu- Cuii.Ht (iiiiml, 
 
 the fnllMlliiK ullltvr sliuulii iK-nr tliin In niiixl •liirliic tliv «>iuni«' uf lli«> i'Siiiiil- 
 
 iintluii uf cvt-ry np|ili>iiiit fur i-iilUliiu'iil, iiml ••lu>iilil inn- rvrry ni«iiiii< to arrive 
 
 lit II Jiiit t>Miliiiatv uf tlif upplU-nnl'M iim-iiIiiI i-niiurlly. TIm> iippllniiii'M niiKnem 
 
 tu i|iiratluii-«. Iiln tfviKTiil ili'imnimir, IiIn fiifliil I'XpniwiKii. Iil» iilfrtm-w. mihI lita 
 
 ■vM.llfii-x!* uf iiiiii|iri-lii-iiiluii will n*"!"! I>i .I.-'.tihIhIiu- I'- • •■■■' i i..-- '-.r 
 
 H.tlllllll 
 
 .'>. Hrnd no appllrant for HlanUard V t-\aiiilnalluii — 
 
 111 Who hn^ • 
 
 I li\ Wliu lia.x ■ ••III, and who Ima mit Iwu <i|ifMiiH*d Jnw livlli un 
 
 •ii.r tl-!- ni\'[ • ' fwth In onrh jnw 
 
 ' .111 rjS |»>iin<l- 
 
 ■ nn> tu wrvf ; 
 
 ■ nnd U>y», ) < > 
 
 I.M \vii..,.' ii.i.-iii I, 1.-.. II .lu .". r.-.! I iii.-ii.- .•\.v|.t ||)<M<> nlK» nr«' !•• -r^.- 
 ■ ,;iilHrly n.» ulilp's wrllrrx. i>N>.trlclnn.<i llilnl rlnaa, nlownnl*, r«i«>loi. nnd h>'>» 
 N. Im>«i> hrlKlil ulinll Ih> nu( l.^ta ilinn 4 ri<«>t tnrhoK. 
 
 :ur>i4; 
 
((>) Wll.l SMUIIIUTS. 
 
 (/) Wliose iihysical (IcvfldpiiK'nt is imt api'iuviitl.v suirK-iiMit loi- ilic wc.rk re- 
 quired of him. 
 
 Enlisting officers will lie iililc li.v cliisc ulisiM-vatioii ami irjciulr.v tn assiiri' llicni- 
 selves in most instances as to tlie general fitness of apiilicants with respect to 
 the foregoing. 
 
 6. It is recognized that the vision of applicants can not be passed upon con- 
 clusively by enlisting officers, but by using such simple means as are at band 
 enlisting officers should be able to form an opinion as to whether an applicant 
 has good vision or is color blind. Enlisting officers will Inform applicants 
 whose vision or color sense is apparently defective that they will not be sent 
 to a medical officer for further examination unless they so desire, in which 
 case the enlisting officer shall transmit to the medical examiner, with tlie appli- 
 cation for physical examination, a written memorandum setting forth that the 
 applicant's vision or color sense, as the case may be, appears to be defective. 
 
 7. The record of physical examination for enlistment or reenlistment will 
 be subject to review by the Surgeon General of the Public Health Service. 
 In case a person is enlisted or reenlisted upon the certificate of a medical 
 officer that such person is physically qualified, and the finding of such medical 
 examiner is disapprove<l by the Surgeon General (of which fact the commanding 
 officer or district superintendent will be advised by headquarters), the per.son 
 so enlisted or reenlisted will not be discharged during the period of his enlist- 
 ment, on account of such disapproval, unless it develops that the physical defect 
 noted by the Surgeon General materially interferes with the performance of 
 duty, in which case a full statement of the facts shall be submitteil to Head- 
 quarters by the commanding officer or district superintendent, and Head- 
 quarters will thereupon direct the discharge of the person concerned. At the 
 expiration of the period of enlistment (except as noted in the following para- 
 graph) or if the person is discharged under the foregoing provision prior to 
 that time, or if he is discharged during the period of his enlistment for cause 
 other than physical disqualification, the commanding officer or district superin- 
 tendent shall make and sign the following indorsement across the face of the 
 discharge : 
 
 " Not eligible for reenlistment by reason of physical disability not incident 
 to service, which disability existed at the date of enlistyient." 
 
 8. An enlisted person who has been continued in the Coast Guard under 
 the provisions of the preceding paragraph may at his own request ajjaiii be 
 examined by a medical officer not less than thirty (30) days before the expira- 
 tion of the period for which he enlisted, and if he is so examined, the record of 
 physical examination .shall be forwarded to Headquarters by the commanding 
 officer or district superintendent, with suitable indorsement. If. as a result 
 of such further examination, the Surgeon General finds that the person is 
 physically qualified the commanding officer or district superintendent will be 
 notified accordingly and the indorsement prescribe<l in the preceding paragraph 
 shall not be made on his discharge. 
 
PHYSICAL KXA.MIN ATION li\ THK MKDK \l. (U I I( KU. 
 STANUAKU A. 
 
 (Ai »<H>ii 111 II riiii'M' fur n-Jt-t-lliiii l» awtTiiiliHil. iIm- exniiilimtloii mny !»«• ttlwitii- 
 
 llllUf<l.) 
 
 I > liloii. 'rii<- ii|i|>Ui-niit iiiuKl liiivf at ItiiHt '.1>''8>) uiK-ornt-tot vUliin In i>nrli 
 ■■ye. .\|i|ill>'iiiit>t iixlnt; «>><-KlH<wnt arc not flli;lliU>. Tlif vl»i4>h of ilu- a|i|ilii-aiit 
 will Im< tcHlitl lit riilliiw^: TIk- •■xaiiiliKT will oliHaTvi- (lint (In- Siu-lti-ii rlinriK 
 U<uil III iIiIh li**t art- fxlilliltitl III the a|>|illi-aiit at a hflulit »( i »r .*• fi-a-l from 
 till- isruiiiiil anil al u rlUtantv »f '.i) t>vt fxai-tly. niiil tliU iIIhIiiiiiv iiiukI In- iimln- 
 tiiliii><l (liroitifliiMil till- ti-Ml. A uimmI llu'lit iiiiiMl fall on ili>- cliari. an<l durhie tlia- 
 tcolit. rliariN Willi illfrcrcnl Iclti-rliii: «liniilil Ix- fiii|>ln\c<| in nui'li n inanncr llini 
 tlii> •tiiiillilali- run not In-i-imw ranilllur witli the li-tli-r> on tin- varloii* lliu-v. 
 Kiuh fy«' itlioiilil 1m' ti-wtiil M-iMiralfly hy •■ari'fully ■•xiIuiIIiik tin- i-y.- wlilili l» not 
 U'Ini: fXiiniliHil liy liolillni; a rani iH-rori- It. No iiniwnrc hIioiiIiI Im> i-xi-rliil. 
 nor oliaiulil till' cxi-luiliil cyi- Im> rloM-<l. Am MNin nn tin- cxaiiilnfr Iuik aiMfrtaliiail 
 till- |i>\vi»i| lliif*vvlili-|i till- a|i|>ll<tiiil lia?< iMfli ulili> to n>ai|, tin- \l>t|oii nIiouM In- 
 rttiinliil In tlic form of a friii-tlon. tin- iiiimfrator of wlili-h ttlmll rc|>r<-M-nt lli<- 
 tlUlaiKv at wlilrli till- tt-wl wan niailc, I. iv. LI* fifl : tin- ilciiotnliuilor. tli<* iiuiuIht 
 on tlif churl i>|i|m>mI|i- th<* luMt lliif which wun rttiil. Tht> fi-llow t-yi- In now 
 Klnillarly t<>Mtf<t. I'tirltiic tli«> |M>rforinancv uf tin- t<*st the IliU uiuxt rcuuiln 
 naiiirnlly o|h>ii, •uiuliillnic Im-Iiii: |>roli|tilti-<|. In the i-xt-nt tliut iIm- tiimlliluti- In 
 unalilt' III riiiil all lli<- li-tt<-m on ihi- lint- <li-Hlt;nali-<l at lili nilnliiiuni vl«|on. Im* 
 will In- |>u>tM-<l. |>ro\|i|<i| he Ix alih* to r<-a<l thni- of tht- Icttt-rx on Hit- iifSI 
 Miiiullfr lliif with IhiiIi cyi-H illnx-ti'il on th<> chart. 
 
 •.*. Color bllndnrM. The Ilolmurcn wonttiil u-«tt hIiuII !>»• U!t«l In all cnM>«. 
 In cn.w of iloiilil lit lo an aiitillcanl'N color wiuk* iM'Inu iioriiiul lu' nuty Im- M>nt 
 to the iican-Kl murine li<«i|ilial to |h> l<>Nttil with Hit- Wllllunut tciit lantern, the 
 n|>|ill<tiiii to iM-ur the e\|M-nNe of trun.t|iortniton. 
 
 Thr llolmtfrrn »•«(.— The eiitln* «>t of wi>nite«lit hIiouIiI Iw Hiimtit out on tin? 
 lalile iN-fiire the a|i|>lli'aiit In uoimI iliiyllulil. Kiu-h wt of llolni;;reirit uoriilMla 
 ointnliui three lurKe Kkeliui : No. I, Knvn : No. 'i, niM> pink: ami No. 3. ivi\. 
 
 fmi No. I.- IMaiv the lnri:e crn-n titi skein U-fon- the ii|i|>ll<iiiil. nl u illa- 
 lumv of aUiiit J t,tt from the otiieni. ami rtiiue^t hini to x-hit from the lie«|i of 
 •kelnn nil that iiMi«t r«fM>nilile the iitt iikein nixl plmv tbeiu iMntlile It. The 
 ivliole ti-?it nhoiihl !>«• hn.He.| ii|ton n <-om|HirlMin of culont. nml In mnklnie It no 
 cohir Khoiilil Ix* naiiKsl. In the tlmt |>lniv. It In mttit-uiry that the a|>|ill<-nnt 
 Bhoulil thoniiiahly umler«luii<l what N rei|Ulriil of hlni— that I*, that he olxmhl 
 Mmnh the pile for the Hkehw ninklni; nn linpniwion on lili ••^•lor xeiuw. Iixle- 
 tM<ii<lent of any name he may Klve the mlor. Klinllnr to that nunle liy the 
 Miinple. lie ahouhl In> InfornM-al that tlien* ar<> no two nkelito exactly alike. 
 • ml that the only quawtlon la the r.i».«nil»lamv «>f the oUor. He mum Ihen'fore 
 emienvor to Hnil ••••methInK ilinllar of the miiim' "haile. w>nH*tlilnK llBhier aiMl 
 darker of the MnK> color. If the iterwin IwIub exaniliml thuii not aucv^til In 
 (S) 
 
iinclerstniullns iliis by ii vi'i'biil exiilanatlon, the person making the examina- 
 tion must mal<o lUo trial tiy searching for the slielns and placing them by the 
 sample skein, thereby showing in n practical manner what is meant by shade, 
 and then restore all the skeins to the pile except the sample. With test No. 
 1, the completely color blind, whether to red or green, will select, with or with- 
 out the Krecn, some confusion colors, such as yellows, fawns, or grays. This 
 examination must continue until the applicant has placed near the sample all 
 the other skeins of the same shade as the sample, or else, with these or sep- 
 arately, one of the several skeins of the class corresponding to the confusion 
 colors. The applicant who, while not finally placing the confusion colors be- 
 side the test skein, evinces a manifest disposition to do so, has a feeble 
 chromatic .sense and is partially color blind. To ascertain the kind and degree 
 of color blindness present, test No. 2 should be used. 
 
 Test No. 2. — Thoroughly mix all the colors together. Then place the large 
 rose skein a distance of about 2 feet from the pile of worstcils, and request the 
 applicant, as before, to select from the pile and place with the sample all that 
 look to him to be shades of that color, ligliter and darker, until all of the same 
 shades have been placed by the sample, or else, simultaneously or separately 
 one or several of the confusion colors have been placed by it. He who con- 
 fuses colors in this test, selecting either the light or deep shades of blue or 
 violet, especially the deep, with or without purple, is completely red blind. 
 If he selects the light or deep shades of one kind of green or gi-ay, either with 
 or without purple, he is completely green blind. The fact that many green 
 blinds select in this test, besides gray and green or one of tlie.se colors, also 
 bright blue, has led to misunderstanding. Some have from* this concluded 
 that red and green blindness may exist together in the same individual. This 
 conclusion is not correct. Red and green blindness are two sharply definetl 
 species. The characteristic or sign with green blindness is confusing the rose 
 with gray or green, or both. This confusion is the point to be determined. 
 
 Test No. 3.— The large red skein is presented to the applicant ; it is necessary 
 to have a vivid red color. The red blind will choose, beside the retl, green and 
 brown shades which to the normal sense seem dai-ker than red. The green 
 blind will select green and brown shades which appear lighter than the red. 
 
 Win ill Ills lantern text. — Tlie room being darkened, light all burners of the 
 lamp and place the lantern 20 feet from the person to be examined, and on a 
 level with his head, the side of the lantern carrying the disk witli the colored 
 glasses facing directly toward him. Place the sliding shutter regidated by the 
 knob at the upper part of the lantern, so that two lights are shown at the same 
 time, with the full-sized openings. Ask the person being examined to call aloud 
 the name of each of the colors shown, and designate tlieir position, for instance, 
 " left green, right red," then turn the disk with the glasses slowly until all the 
 colors have been shown. In case it is preferred, the man who is being examined 
 may call out the meaning of the color shown him instead of its name, for in- 
 stance, " left light starboard, right light port." The examiner will make note, 
 as the examination proceeds, of the small illuminated number under the colors 
 shown and of the name given to this color, thus. " nine green, eleven red." In 
 case a wrong name is given to any color it is convenient for reference to make 
 a note, on a different part of the record, of this number and its true color. 
 After showing all the colors with the largest opening rai.se the shutter so as to 
 show only one light at a time through the smallest opening and make note as 
 before of the numbers shown and the name given to each color. Doubtful 
 cases should also be tested with three lights showing at one time. The size 
 
1 tin- liildtllf lliilit ciiii Ik- r«?«ululwl by llu- kiioli Ju»t <»v«r llu- <IUk «llli iIk- v«I- 
 ritl gluMMW liu oa tu itiuiw tluj lulctille IIkIiC ut itie tauiv »lu; ur largi-r ur 
 -iiiiilliT (huu (he (Wo udier IlKlidi. 
 
 rill' euiulliJa(u atiuulil bo rejt-ctetl — 
 
 (II) If tui enlUi a reU llisli[ K'tvu or whKc uiulor ttiiy ilrc-umii(nucw». 
 
 {bt If he i-allit a gro-ii llKh( rol or wtiKc uiiik-r any (-lr<-uiiio(niuxii. 
 
 (r) If lie onlU u wliKi- lli;b( nil or i;nfi> uii<li-r niiy rlr<'Uii>->(tiii>'<-M. 
 
 3. Ilpsrln|r---lu) riutv (ho n|>|illfniit ut one oml of the ro<iiii with tin- ear 
 to Im' tiiittil (owiinl the o(hur end of the ro«iu. luive (he aii|>ll<-nii( liutert hU 
 iiiolnieiietl Idilcx flci^vr Into the other ear. The exauilnliiK xurKi-oii Hhouhl ui>- 
 (iroiu-h within n few feet of the u|i|<lli-uii( iilitl proiiountw wonlx or iihruMii ami 
 illr<N'[ (he apiilk-ant to re|>eat what he hu« tietirU. Tile iiurt;eon iihoulit Iheu 
 Krailiiiilly rece«le frotu tlie upiilU-niit until he t-emwn to refieut comn'tly what 
 Im KiNiken (o hint and the ilUlunce entere<t on the exaiuliiatloii re<vrtl. Th« 
 u|i|iiu-nnt iihouhl then fuce about ami the other ear ahoulU be xliullarly tevted 
 ami reeoriled. 
 
 Id) The nbove technique iihouitl be onrrleil out In tealliit; nhlii|M>reil iit>ee<-h, 
 I he examiner ualnx renldual nir In wlilii(K>rlnt;. 
 
 (<> An applicant who can not ttear couveraatloDal Hpeecb 30 feet and 
 wlilM|H>ml N|ice<-h 15 feet ahould be rejected. 
 
 4. Trelk.— An a|i|illcant mUMt have ut leimt 'JO Mouml teeth, aiul of Iheiii- 
 there iiiiiHt Im- not lerui than 4 o|i|i<im><I niolara In either jaw and 'J opiniMii 
 Incliuint In «>ach Juw. Twth pro|M-rly filled are not to be eoiuildereil uimuuimI. 
 nor Nhall twth be counted an uihtMlni: If (hey have In-en repla<x'«l hy bridge work. 
 An applicant shall not be rej«'cte<l fi>r mliMing (eelli If they can Im? replaceil by 
 lirliU'e w.irk and he ak'reeit (o have (he n»ii->«ttry den(al work done af(pr enllMt- 
 ment li> accoinpllHh thlx. Knch mliuiInK tooth atuill be lndlcate<l In the record of 
 pliyNlenl examination. .\n upplleant wearlnu a plate shall Im- reje«ne«l. 
 
 5. IJenrral Initpeellon, helchl, and irrifiit.— The applicant will next b« 
 (ttrlpiKtl of all hiN clothing, and while iiaketl will be Mubjecte<l to Inapcctloo, 
 meaiturement, welKhlni;, and exerclw><i aH fullows: 
 
 <«) The varlouN |>orlJi of (he bo«ty ••Im>uI<I be well pro|)or(lo(Kxl. the head Hym- 
 (iH>(rlcal, the cheat develo|Mil ami well fornteil, the abdomen lank, and the llniba 
 HhniN*ly with llriu, well <levelo|>."»| muwU's. The carrlaKe should !>«' er.^ t nu.l 
 HprlKhtly without any lack of control : the expreiuilon of tlie fare iihoul'! 
 mental and iihyxlial heaUh and vlpir: (here Nlmuhl In- n<> re|iuNIV4> il. 
 the manner xlionlit Ite cheerful and alert without exaiuceratlon or alukV 
 the !<kln lihouUI be clean, fret- from eruptloiM. and without the ixillor uf dlM-aw, 
 the charucterlRlIc a|>|>eara(uv of the drunkard, or (he |>ecullar rallow tint and 
 the dlHtlnctlve hyiMMlermlc wars of the ilruK habltu^. 
 
 I'') HrlKhl, welxht, anil mrannrenrnl. -The applicant will then Ih- pla(x<<l 
 umler the Mlldinu bar of n nieatiurlnK unl aixl tllrecteil to slaml en-ct while his 
 helk'lit h N-hik" a<^•^l^ntely mensunil. The Iwlitht lueniiure will be taken while 
 the (■■»•« are nilMsl, (he applicant resting m|uan>ly on llie luvl and tmll of each 
 foot. 
 
 Applicants luust Iwve a helKht of 3 fivt 4 ln< hex, exivpt lti<>«« wlio are to 
 M>rve as ships writers. ele<(rlclans (hlnl cla«, ^.tewards. co«>kM. ami boys. wIh«i«p 
 helk'lit mtiit U- not le!tj. thiiii 4 fe.'! !• In. Ii.-^ Th. mutter .if pro|><>rilon of height 
 to weight of ship's writers, elc< trlclaii..< (hlnl class. s(ewanU. cooks, aixl boys 
 Is left to tho judmnent of the luetllcul examiner: If such persons are at least 
 4 f<>vt Incben In lielsht and oihertvlse physically (|Uallfl«><l. titey ahouhl not be 
 rejettetl. 
 
Except 1 
 mill cliost 1 
 
 •i table fiiviiiK tlif pripper height, weight, 
 •(luireil to liuve a height of 5 feet 4 inches 
 
 
 
 
 Chest measure. 
 
 
 Weight. 
 
 Allow, 
 ance for 
 
 ment. 
 
 Height. 
 
 under- 
 
 
 
 
 
 weight. 
 
 At expi- 
 ration. 
 
 hffi?^. 
 
 Ft. In. 
 
 Pounds. 
 
 Pmnds.. 
 
 Imha. 
 
 Inches. 
 
 ify 04 
 
 128 
 
 
 32 
 
 2 
 
 ^ Of 
 
 130 
 
 
 32 
 
 2 
 
 
 132 
 134 
 
 I 
 
 If 
 
 2 
 2 
 
 V, 68 
 
 141 
 
 
 331 
 
 2 
 
 5ft 09 
 
 148 
 
 15 
 
 334 
 
 2 
 
 ttf 71 
 
 155 
 
 20 
 
 34 
 
 2 
 
 162 
 
 20 
 
 34 
 
 2 
 
 a 72 
 
 lli9 
 
 20 
 
 34 
 
 3 
 
 6A 73 
 
 176 
 
 20 
 
 35 
 
 3 
 
 6A 74 
 
 183 
 
 20 
 
 
 3} 
 
 Exceptions to table for height and tceighta. — (1) If an applicant weigh.s more 
 ihau the number of pounds stated in the above table, he may be acceptetl if 
 the overweight is due to muscle and bone, but must be rejected if it is due 
 to fat. (2) No person should be accepted for the rating of surf man if his 
 weight is less than 135 pounds. 
 
 (c) Measurements. — The applicant will be made to stand erect with his 
 heels together and to raise his arms over his head. The measuring tape will 
 be carefully adjusted around the chest with the upper edge of the tape just 
 below the lower angles of the shoulder blades behind and the nipples in front. 
 The arms of the applicant will then be dropped to the sides and he will be 
 directed to take several deep breaths to verify the maximum and niinimuni 
 measurements. Care must b6 taken not to displace the tape and to avoid 
 muscular contortions. Many men must be taught how to breathe and to 
 expand the chest before the measurements are taken, and consequently great 
 care and patience are often necessary in order to get correct results.. Measure- 
 ment of tlie abdomen should be taken at the level of the umbilicus with the 
 abdominal muscles relaxed. 
 
 G. Exercises. — The examiner shall give exerci.ses to show that the applicant 
 has full freedom of movement of all the muscles and joints of the body. 
 
 7. Heart. — The heart .shall be examined by auscultation, percussion, and pal- 
 pation, and the apex beat located. The heart shall also be examined after 
 moderate exercise. The condition of the arteries shall be investigated with 
 reference to aneurism, arteriosclerosis, or any other abnormality. 
 
 8. Lnngs. — The lungs shall be examined both anteriorly and pdsHTlnrly by 
 Inspection, palpation, percussion, and auscultation. 
 
 9. Neck. — The neck shall be inspected for goiter and other defects. 
 
 10. Head. — The applicant being directed to open his mouth, the teeth will be 
 examined, the fauces will be inspected for fissures, perforations, enlarged ton- 
 .sils, and adenoids, and the raucous nicuibrane for mucous patches, and for scars 
 of former ulcerations. 
 
 (o) The face will be examineil fur hairlip. or other repulsive deformities, 
 or stigmata, for facial paralysis, and for other evidences of disease. 
 
 (6) The nose will be inspected for deviated septum or for other (Icformity. 
 and for dilated ve.ssels indicative of alcoholism. 
 
 (c) Each external car and raasti>i<l region sliall lu" inspected, and cadi dnnii 
 examined with a speculum. 
 
9 
 
 (J) iUirU ly, ulll Im» lii»|i«'<U'<| fi.r i-vliU-iHv of iiiuM alur '.r oiImt «lff«-t 
 nnil for (IImmiiw. th*- ll«l« U-Ing «»\«Tt«l «n«1 exniiiiiml for trti'-lioiim. 
 
 Irl TIh* »ruli> will Im< liuqMi-tpil for illiirfliw bihI |Mtl(iiiti«l for vvM<-ihv of 
 foriiKT Injury. ilfi.n-Mnloiui from frui-lur*- or trt>f>lilnlnK, mwl for »llenmlB of 
 tU'j!«'iM'riii-y, 
 
 It. Nkla.— Thf Nkin will hf lii>i(M-<inl for nn<>iiiln. Jntiiullif. i-niplloiw. bihI 
 ii«lnT ■!> miitoiiw of (llwniw, for liyiHNh-riiili- ami oiIh-t noon* uiwl |«m|I<uII. «I*i 
 for ••vlili'iHT of sitn-i-tisfiil vn<-<-lna(liiii. 
 
 12. UUDdn. TIk- o.iulltloii of Ihf followliii; NuiK-rnHol kIuikIi of ili<- U»\j 
 mIioiiIiI Im' ihiIoI ; I'o-r ■■•'•'l|iltiil. ivrvlitil. fiMiioml. i-|il(r<»-lil>tir. Iiiifiiiiinl 
 
 13. .\lMloiiilnal urgaB*.— Till- c-omllilon of tin- nlHloinlrinl oreaiut iitinll Imi In- 
 
 Vt-MllUlltllt 
 
 U. Hcrolnai.— flotli ■iIiU'm of the MYotiim nlmll In- tial|«tml for rhnneiii In IIm> 
 ti-nlli-li-M, i-iilillilynilt, uihI i-onti-nlM of tlu' ttinliii viii;lnnllii niwl for vnrl<-<>rvli*. 
 Tin- k'<-iilliilH wliitll Im' lnt|HH-if<| for nnv pvlilfn** of wncrtnil illm-fliH> nml for 
 uuilfornmllonjt. llif kIuum im-iiN iinti i-.ironii Im-Ihk fX|HMM| uimI iIk- \wuU >tlrl|>|Hil ; 
 (b<- imlili' ri-ulo» I" to Ih- liiN|H-<-tf<l for iMtllnill. 
 
 KV lier>la.--FUauilnallou Htiall Im' ntuil<- hy ln<>|"'<'tlon ami imliwllon for 
 fi-nioral, hiuuliuil. vmiral. and unil>lll<til li<-rnla. 
 
 III. \*lt\ recloa.— Thf u|ii>lkiinl liuvlni: Im-n illrc<(i-<l (•> U-ial foruani an<l 
 to •wiMirali- till- liutt<M-kH flu- anal ri-ulon itliall Ih> InniMvUil for lifiuorrluililfi, 
 tlxtuln-. niu<'oii'. |uiliiii-M. iiml oIIut tli'fe<t«. 
 
 I". Ba«k aad i-jtrrmltlM.— Tin- I>h< k »liall !»«• ••\ainliKtl for itt>liml curvaluri- 
 anil oth.r iil.n..rnmlltl«"». Tli.- api'll'iini -lumllnu' .-nil. lli.- l.-o "liall !«.• 
 Iiu<|ir<tnl for varlii*.' vi-lnn ami ul.iTt. al*. for Hal f>»>l. «-.irn«. Ink'ruuini: !.«• 
 nallo, bunlonii, ilcfonmNl or nilwiliu: to«>H, liy|M>ri<lnMlii. nnil hnmiUlnMilii ; flu* 
 kn<-<w for u<-nn viiruni anil >Hluinii. <'hm-m hIiouIii;: Hal fiM>t nIioiiIiI tip (>arllrti- 
 Inrly t'xnnilntil to ilHtTuihii- llii> '•(ri-n;.th of tin- foot. Tlu- hnmlit niHl nrnut 
 an* (» Im* lnH|N><-li><l for il<>fornil(l>-^. olil frai'lun-o. ami ilNlix-atlont. ainpiKatlon 
 of ItiiKi'm. iMirtlally fitxtil or ankylowil Joint*, ami for InipnIrnI fiimiiono The 
 npiilU-nnl Im-Iuk illriNiiil to utaml wIlli llir Inm-r tH.ri|pn« of tin- Uvi lo;;fthi-r. 
 nnnx horUonlal. nns»'r< npart. ami I'v.-* i|.«.-«l. !»• will !»• i-xiinilm-'l f'-r ir. iii..r> 
 nml ii.Tvoim ln«tiililllty. 
 
 IS. XPBtal PoadllloB.— Tli<- na-ntal lomllllon of ilu- a|>|>ll<-iint -.ti 
 (ahMil l>y tlif fnlhiwlritf test: 
 
 III) llavf a|i|illi-aiit n'|i«it ttirti- *f\* of nuniU-n*, «tnii n«nil»'r i-..tiit»~.-.! of 
 nvvon llkiirfn. 
 
 iM Ilavi- applli-anl i-oni|MW<< n •••nti-nn- omtalnlns tlini- »i»nU. %\xr\\ aa 
 " Itiinrnlo. " •• nion.-y. " " rivir " ; tlntt nrnklne nnrv hy vm" of lIliKtmtlon.^ that 
 till' won! ■• wnti'mt" " N nn'lfniti»>«l. 
 
 I. > llavi. hlni Blv.- tin- i.p|iiwlti> wnnl to " piml." "oofaMi*," " tall." "big," 
 •• wliltf. • •• liKhi." •• falw." or oih.T wonN winini liy the examlnrr. 
 
DISEASES, INJURIES, MALFORMATIONS. AND OTHER 
 PHYSICAL DEFECTS DISQUALIFYING FOR SERVICE IN 
 THE UNITED STATES COAST GUARD. 
 
 10. A suporficial exjiminatioii of mnny applicants determines tbe fact of their 
 uutitness; tliey are undersized, under weiglit, undeveloped, sallow, or pale and 
 scrawny, poorly nourished, with thin, flabby muscles, and are manifestly lacking 
 In stamina and resistance to disease. The rejection of such applicants for 
 " poor physique " is not sufficiently exact, and the medical examiner should 
 record as the disqualifying cause in each case some specific pathological con- 
 dition, if such can be found, or " under weight," " deficient chest measurements," 
 " deficient muscular development," " deficient nutrition," or such other definite 
 disqualifying conditions as may be found to exist. 
 GENERAL DISEASES. 
 
 20. C!<>neral diseases are causes for rejection. Among these are included the 
 following : 
 
 (a) Chronic malarial poisoning resulting in marked eacliexia. gi-ave anemia, 
 or splenic enlargement. 
 
 (h) Tuberculosis of whatever degree and whether general or localized, 
 (r) Recurrent attacks of rheumatism and chronic articular rheumatism. 
 
 (d) Malignant tumors of all kinds. 
 
 (e) Syphilis. 
 
 MENTAL AND NERVOUS DISORDERS. 
 
 21. Insanity, geneial paralysis, epilepsy, chorea, and somnambulism are causes 
 for rejection. 
 
 22. Tlie medical examiner shall use every effort to exclude the mentally de- 
 fective and those showing evidence of serious nervous disorders. The follow- 
 ing is a list of the principal stigmata of degeneracy : 
 
 Cranial abnormalities in outline, capacity, or dimensions; excessive develop- 
 ment of the occipital protuberances and ridges, the frontal eminences, and the 
 mastoid processes; reduction of the facial angle; asymmetrical facial develop- 
 ment ; lower jaw disproportionately large and prognathic ; hard palate sharply 
 vaulted ; dental arches narrowed or angular ; teeth defective or misplaced ; ears 
 disproportionate in size or malformed ; extreme refractive anomalies and 
 strabismus; deviation of the nose; septal deformities; harelip; cleft palate; 
 remnants of branchial clefts ; spina bifida ; sacral growths of hair ; deep sternal 
 furrows and concavities ; disproportion between thorax and abdomen ; upper and 
 low-er limbs disproportioned to each other or to the trunk ; abnormality in size 
 of hands or feet; tendency to left-sided overdevelopment; deformities of the 
 fingers ; syndactylism ; excessive length or shortness of the fingers ; undersize of 
 the ring and little fingers ; genitalia undeveloped ; hypospadias ; epispadias ; 
 scrotal fissure ; albinism ; melanism ; multiple nrevi ; defective development of 
 hair and nails. 
 
 In estimating the value of the various marks of degeneracy, the occurrence of 
 a very few in any individual case would not justify classification of the case as 
 that of a defective. The presence, however, of numerous stigmata indicates an 
 unstable nervous organization that is disqualifying for the United States Coast 
 Guard. 
 
 23. Chronic alcoholism.— This subject should be carefully considered in 
 the case of every applicant for enlistment, and as answers to questions regard- 
 ing the alcoholic habit are frequently made with intent to deceive, the meilical 
 examiner should be on the alert to detect the physical evidences of the disease. 
 The suffused eye, the prominent superficial blood vessels of the nose and cheek, 
 
 (10) 
 
11 
 
 Ihf lliihby, Itluiiltil, niltli-iitil ii»|h-<-i i<t (In- fi«i-, uiul iIh* |iur|iltKli illMiilornlluu 
 of iti« niiiiMiw iiK'iiiliniue of Ow |ilmr)iix uittl uf (Im* auft iiulaie ttrv well kiumu 
 liiiru»t«TlitlU-« iif iIh- mil f"! Iiiilillti.-. Aiiotli.r l>|ii-. qulK- iit ■iiiiiiiiuii. U die 
 l»M>rly iMiurlMlHtl .Iriiiikiinl. wlili |«il''. wkIiU'ii. lulirii itiuiplrxluii himI cluiuiiiy 
 ttklii. MuM'tilnr irtMiiiir mIhiuIiI iiImii>m U> hiuktil for in rlw i>roiruil«l tunisu*.- 
 uimJ iIm> iiul>itr«*lt-li<-<l ItiiKiTit: ll l» iilxt luitUiiililf in iIh- lurk ••f iinilrul mIk-ii ihv 
 
 u|i|>ll<-iiiit 11(1 \n» (•• hIuii IiIm IIUIIK-. tt Im iilMnya Kruuiul fur mwitk-loii ami a 
 
 vuliiiiMf liiilli'iitloii of t'liruiiU- nUxliollKiii. 
 
 IM. DruK habll. Tlic iiiiir|>tili><* liul'liii^ ii«unlly lukt^ IiIh iIum* liy iiuium of 
 II loiNHliriiilr njriiiui. iiikI ii tnn-rul liui|iiitlon of hl« akin will aliuw black doU 
 rcprcnfiiiliiu "III lutilli' imiicturfM, or Niimll. aiiuwlh, oval, white wiira of iduI- 
 ll|iU- nliMi-MM-M rvitullliit; from tlu* iiiio of u illrty liuiiruuH-iit ; (lutii- iiinrkii ar» 
 ti-iiiiliy fiiiiiiil nil tlu- ililk'liM iir li-fl iiriii of n rluliiliniulol ihtmoii. TlitTc la 
 -oiiii-lliiifM pniH-iit u |M-<-ullar luillor iiml ilr)iii<«M of tli<- nklii. In nwirpliliM- UM-ni 
 lu- |iu|ill Im linbltually ii)iilnHtiil. lii (lie oM-aliu> liabllu« It Im uxually Mhlfly 
 'IiIhk-41. 
 
 THE SKIN. 
 
 J.'. l-:<-zi>iiiu. ihroiilc ImiM'llKo. ••xi>-iim1\c iMorluiiIri iukI Ulitli>o«lii. iH-uiiiblKU«, 
 liipiiM, iiml nyitMila art* illM<|iinllfylni;. 
 
 'M. Ai-iic la not a cuumi' for rvjoctlon uiiloait altualiil u|Mtn tbu fu>v and ao 
 pronouiKt-tl nM to iiiiioiiiit to |io«ltlvf ili-fonnlty. 
 
 '.T. Kk-pliantluMla la illH<|uullf>lni:. Kflohl, If vxti-nalvv, la (llatiuallfylui;. 
 
 2S. I'lifrallona of tin- akin an- niiiw-M for rt'Jwtlon. 
 
 •Jl>. Kxli'iuilvo, ilivp. t>r aitlifriMit M-ara tliut lntfrf»>rc ullli niuat^-ular iiMivo- 
 nii'nta or with thv wiiirlnK of military tiiulpnwiit or that allow a teiiilfncy to 
 I'D-nk down and uUvrato are cniiM-a for n-Jivllon. 
 
 \a>vl and ottu-r i-rwtlli' tuniorM an- raua«it for roJ«vtlon If extvitalvv, dl«- 
 liiCurlns. or oxihmmI to iMiiatant pm»Miiri'. 
 
 :10. S<-aliU>« or Itrh U n ointaKloiia |HiraHltl<- iliaitiM', ohara<ti-rlZf<l by sinnll 
 Iti'bliit; iMtliilM iM'lwtvn tho llnKi-rM, on ilic handa, wrlata, axillary fulilM, luwvr 
 ulHloniliial, tsmltal. and aiinl r«'Kl»nM. and In dl.«|unlir>iiii;. 
 
 31. Api>llcunla llifiittrtl with Yorniln hIioiiIiI Im; rfjtvtnl. 
 
 THK IIK.\n. 
 
 SL*. Thr aralp.— Tliuni In Ita vnrloun fornui. nmlluiiant tuniom, and all other 
 tuuioni of aiitllclent aUv tu IntiTfcrf with ilic wttirlni: of uulfonii head drcM 
 art- raiiM-M for reJM-tlon. lViii|Miriiry falliiiK out of lln' tialr followlnc aruie 
 dlM-aM> Im not n cauitv for n>Jc«-lloii, but |N<rninn<>nt baldixiui (alo|irclul. wlH>n 
 Involvlni; a conalilerable ("'rtlon of tli>> m-alp, mIiouIi! dliu|uallfy. 
 
 :C(. The akoll. — Ini|M>rf<t.-t ijwtllloilloii of tlu- irnnlul boiM-M an<l the imtmImiimioo 
 of iIh< Hiiii-rlor fontnnollo are ratweH for reJ«i-tloii. Kxteiialve elintrlrti*. 
 efi|Hvlnlly aiieh udliereiit m-nra UM ahow a tendency to break down nnd uhvnile, 
 illaqunllfy. Ivprtiwwl fractures i>f the Mkull. (wirticulnrly iIhmc In the motor 
 reiclon, iiaiially cauM< rejection. !l|on»iruiilty In the alu* of the hmd la a cauao 
 for rejvcttun. 
 
 34. Ears.— (II) The total low of mi nir. iiiarkeil liy|>ertri.|iliy or atropliy, and 
 dlsftmirlni: ih'foriully uf the orenn are ciium>« for rejection. 
 
 t6) Atresia of the auilltory nicniua or tuniorM of thla iwMMain^ are ciiimm 
 for rejection. 
 
 ir) Chronic MUppurntlon of ttie middle ear la a cnuM> for n>Jecllou. Cnaea 
 of |M-rforoll«n of the niemhrnna lyniimni. wlier\< the active process luia entirely 
 muKmIiIciI and clcalrlxallon baa taken platv, may be anvptet! provide*! tb« 
 h«>arliiR la itot Ih<Iow tlH< atandanl. 
 
 Id) MaaloUlltta, ocute or ibronlc. Im a cnuae for reJ»>ctlon. 
 
12 
 
 ;!.-.. Fact'.— (<;) Kxlrciiic UKliiicss, cillicr ns n rrsull ..f iilropliy of m imrl of 
 the face iir iiii iiccouiit of ii liirU of syiiiim'lriral (level. )|jimi>iiI. is a cause for 
 rejection. 
 
 (6) Unsightly deformities, sueh as lart.'e liirlluiiarks and lartre hairy moles, 
 inutilntlons ilue to injurie.s or siir^'ical operalions. tumors, ulieralioiis. ami 
 flstulfB, persistent neuralgia, tie douloureux, and paral.vses of central nervous 
 origin are causes for rejection. 
 
 (c) Ununited fractures of tlie maxillary bones, deformities of eitlier maxil- 
 lary bone, interfering with mastication or speecli, extensive exostoses, curies, 
 necrosis, and osseous cysts are causes for rejection. 
 
 (rf) Chronic arthritis of the temporo-maxillary articulation, badly reduced 
 or recurrent dislocations of this joint and ankylosis of it. comiili'ie or iiartial, 
 are causes for rejection. 
 
 36. Eyes. — (o) Color blindness, coiniilete or partial, is cause for reiection. 
 
 (b) Asthenopia accompanying any ocular defect is a cause for rejection. 
 
 (f) Complete or extensive destruction of the lids, disfiguring cicatrices, ad- 
 hesion of the lids to each other or to tlie eye hall, marked inversion or eversion 
 of the eyelids, trichiasis, jitosis, hieiiliarospasm, and chronic blepharitis are 
 causes for rejection. 
 
 ((/) Epiphora and chronic dacryocystitis are causes for rejection. 
 
 (e) Chronic conjunctivitis, acute or contagious trachoma, and pterygium in- 
 terfering with the vision are causes for rejection. 
 
 (/) Chronic keratitis, deep ulcers of the cornea, slaphylom.i. and corneal 
 opacities encroaching on the pupillary area and reducing the acuity of vision 
 below the standard are causes for rejection. 
 
 (p) Opacities of the lens or its capsule, sufficient to reduce the vision below 
 the standard, and progressive cataract of any degree are causes for rejection. 
 
 (7() Extensive coloboiua of the choroid or iris, absence of pigment, exten- 
 sive or progressive choroiditis and glaucoma are causes for rejection. 
 
 (i) Retinitis, detachment of the retina, neuroretiiiitis and optic neuritis, 
 and atropliy of the optic nerve are causes for rejection. 
 
 {]) Loss or disorganization of eitlier eye and pronounced exophthalmos are 
 causes for rejection. 
 
 (7i) Pronounced nystagmus and well-marked strabismus are causes for 
 rejection. 
 
 37. Nose.— (rt) Lo.ss of the nose. malfi>rm.-ition and deformities thereof that 
 interfere with speech or breathing, and fclid (lisilKii';.'e from the nose are causes 
 for rejection. 
 
 (6) Nasal obstruction due to septal deviation, hyiiertrophic rhinitis, or other 
 causes, sufficient to produce motith breatliing, is cause for rejection. 
 
 (r) Chronic suppurative conditions of the maxillary antra, the frontal anil 
 sphenoidal sinuses and ethmoidal cells are causes for rejection. 
 
 38. Mouth and adjacent parts.— («) Harelip, loss of the whole or a i>art of 
 either lip. unsightly mutilations of the lips from wotimls. biu'iis. or diseases, 
 and pronounced alveolar pyorrhea are can.ses for rejection 
 
 (h) The loss of teeth in excess of the standard fixcMl by the department is 
 disqualifying. 
 
 (c) Malformation, partial loss, atrophy or hypertrophy of the tongue, split 
 or bifid tongue, or adhesions of the tongue to the sides of the mouth so as to 
 interfere with mastication, .speech, or swallowing are causes for rejection. 
 
 ((f) Malignant tumors of the tongue and benign tumors that interfere with 
 its functions are causes for rejection. 
 
 (c) Stammering, if pronounced, is a cause for rejection. 
 
 (/) Ranula, if at all extensive, malignant ttimors. and salivary fistula are 
 causes for rejecticm. 
 
13 
 
 (f/» IVrfiiriifloii i>r *xt«'ii«lvi« Iiwm nf iiutMlaiiit* i>f iIm- hiinl "r mifi inlatf. 
 pxli-iiKlVf ul<frall<>ii. ••ilt'imlvi- ii<I1h>«I<>iih in ttir iilmryiiz. him] iHiriilyiiU «iv 
 )-nUN4it fur ri'J"'!!"!!. 
 
 TIIK HUDV. 
 
 30. Np«k.— (>i) ('■■rvli-ul ikUmiIiIh ili-|M-ii>ln ii|n>ii n vnrlily of t-auMit, aiiHMie 
 ulilt'h (utNTi-uliiKlN Id rri->|Ui-Ml. If (he itmilltlnti I* <if ImmiIkii nrletii. xut-h aa 
 ili-riliil iiirli>«, II !■> mil <ll><|iinllfylii|,' ; Itur If iiilNTi-iiliiklx In *ii<t|i><<-lf«l, rvj<^'- 
 lloii In ilaMiiiiiiiltNl. AiUmiIiIn of iIh* xuliitiaxllltiry. |>nro|li|, aixt aiirU-ular ivkIoii 
 In usually of Ih-iiIkd origin; In llif t-lnvlrulnr aitil lower t-arollil n^loiut ll la 
 fr<t|Ufnlly lulM-rt-iihir. Ailhfrfiir hihI illHtlKurliii; Mtint In ihU n-i!li>ii from 
 illM-nm- (iulMT<-ulu«liil. Iiijurl***, or Imriin an- cauiM* for rf)«-lloii. 
 
 (M KxIciimIvo or prticn-wtlvc icolti-r. Iiid-rfi-rliii; wiili ImiiililiiK or wlih die 
 WMirliiK of orilliiiiry cloililiii;. U ii riiiiw for r<-J>'<'lloii : -• iilwi an- fxoidilliiiliiilo 
 k'uKt^r ami lorrli-olllri. 
 
 40. Ijiryax, pharynx, and ntophairaa.— i<i) riininl)- liiiliiiiiiiiiiilon. Hyi>lillU, 
 lulM-r<-uloHN. Hint Htrli-tiirc of thf larynx, an<l a|ilionla ar«> c^umv for n>j<'<'tlon. 
 
 iht MalformadiinM and itcforinltlfM of ihi> pharynx aiMl kIoikmIm from ait- 
 hcnloiiN or rli-atrlc-al omlracttoiM of Mutlti-lcnt ilittn-*- lo lnl>>rf«Tt> with fum-iloti 
 an- i-uumti for ri'J<'«-tloii. 
 
 <(•» I'lMtt'iuiital aitiMiotilt InliTfiTliii: wIlli r<it|ilratlon or aMHoclatitl with 
 pn>Kr«uilvt> mlil<ll<^(>Br illiM>aHi> an* <lli«|uattfylnK. 
 
 |i/) (.'hroiilr «>nlari;<'nifnt of tin* (oiimIIh miltti'laMil lu Inlorft-rc with aiMNtii 
 or piwnllouini; In illm|uallfylne. 
 
 («-) 8trlrtur<> or proiioun(i-<t <lllatallcin of th«> iiciphaKuii Ik a iiium.* for r^*- 
 Jwtlon. 
 
 41. Ckntt. — I't) <'ont:i'iil(nl mat forma I ton* unit aii|ulrv<l ilcformlthii iluit r>^ 
 milt In rtiliiiini; lhi> liiittt nipurlly ami illmlnlHhInK tin- niiplralory funi-tlon, 
 or -tuWi a* priKluiv vlslblt- illittlKuri'm«>nt whon lh«> applicant In ilronmit an- 
 i-auMw for r«'J""ilon. 
 
 lb) I'roltouniiit i-onlnirtlou of tliv liiiwt, with hiIIk-nIoiin following ptinirliiy. 
 In a niu««' for ri'Jii-llon. 
 
 (r» tH'fornilth'M of |Im> N<iipula'. aliwiuv or faulty ilfTclopmont of tho 
 linvli-lf, otit frarlurc whtTf ih«>ri> In mtiiii ih-formliy or liiti-rfi-n-niv with 
 fuiii-ttiin. nniinltiil frni-luri>M, ami (mrtlat or i-ompU'ti> itlMliM-ailon of t-lthi'r i-ml 
 of th»' clavliio are iiium<-m for rfjtiilon. 
 
 rd» Siip|iiiratlvi> |>.>rliwtltlN. larU-N. n.iroNiN of ihi- rllw, tho Nti-rnum. tho 
 iinvhi««, or tin- Miipuln* an- itiuiu-M for r«'J<i'lli>n. 
 
 If) oiit frai-liirr^ of tha* rllw with faulty union, lnta>rfiTlne with function. 
 nr«' II oaiiNa" for nOa-ailoii, 
 
 ■II'. Lnifv. I'ulnHMiary tuUTcuhwlM. liironic liroiu-hltiN, chronic piiaMimonIa, 
 piilinoimry ■•nipli\<a>inii. aNihnia, chronic plcurUy, ami prrvlouit uiH-nillon for 
 i-nipya>nui an- •nn.'w?! for rc>vtlon. 
 
 4X Hrart and arlrrlr*. i>ii lly|>-rtrophy ami itllalutlon of iIh> liaiiri am) 
 all valvular itl<M>a«a>?i of that orean an> rauM>a for r<>j«<a-tlon. 
 
 (M I'mnounoit im tiy<-nralla ami markail arrhythmia of tlH> lM>nrt'it ncllun 
 ara- niuNa-!! for r»'>'<-tli>n. 
 
 (<•> Ana'tirlNin of whati-vaT wirlcly or nltunlloii In itl*a|uallfylni{. 
 
 (ill A niiillnii of the l>l.»ii| pra-wiirv In mat mit-Mjiry In at>|>ll<iiiilN .Vi y.^ra 
 of ai;a- air umU-r. A|>pllciinl< ovit ;Ci yaiina of atfa- wIm^m- «yNtollc IiIo<mI prafiaura' 
 In MMin* than l.*<«) or li>w ttuin Mil or whaw itlnNtolli- tiliaul pnwaurv In iiiort* 
 than no or la«M than 70 nIuiII Ik* r»'>Tli<«l. Tara- Klioulal Im> iaka>n w»n«n ulainln- 
 Ini: thia hhaaal pn-Mura* to Nat- that tlw Nphyi:iminianonM*la-r Rlvaia th«> a»rra>t 
 ra'aitlllK. Thalia* llMtrUIUaMIlN fra-aiucnlly B»>l out of .irataT anal jrtvt< a fal»«J 
 InipraitNlon of llii< cuiutltloii pn>fM>nl. ThIa hlooat praiiaura* nIh>uI(I bt> taken tu 
 
14 
 
 cuff 1ms bi'cn iU'l'liod lo llii- arm iiiid lilled with air, a sli'tlioscope .should be 
 jilaeed over llie hciid of the ellmw and the ju-essure of the air Kraduully released 
 Iroiii the ciitT. Tlie systolic pressure should be read when (he first beat of the 
 jiulse Is heard through the stethoscope, and the diastolic pressure should be 
 recorded when (he loudness of the pulse sound diminishes in intensity. In case 
 of doubt several readings sliall be made. 
 
 44. Abduiiieu. — (a) Wounds, injuries, and imiscular rupture of tlie al)- 
 dominul walls sullicient to interfere with function and lisluhe from visceral or 
 bony lesions are causes for rejection. Cicatrices from wounds and operations, 
 which have been treated by drainage or are so attenuated as to indicate weak- 
 ness of the abdominal walls, are causes for rejection. 
 
 (()) All hernias, of whatever origin, are causes for rejection. 
 
 (c) Chronic diseases of I lie sliiiii.-icli ;in<l inleslines. surh as clu'onic dys- 
 pepsia, gastric ulcer, ami (l.vscnlci-.v. nlTiTliin; ihr iri'iirrni liuli-ilioii. are causes 
 for rejection. 
 
 (d) Intestinal parasites are causes for rcjcclioii. 
 
 (c) Chronic appendicitis and climnii' ciilnr-ciiicul of tlio liver or spleen 
 are causes for rejection. 
 
 (/) Marked iii-<ilnision of (li.. iiliddincn due Id f;i1l.v (U'posits is cause for 
 i-ejection. 
 
 45. Spine. — (a) Curvature of the spine (jjostural k.viilu>sis and scoliosis) 
 not interfering witli function and of a degree so moderate as to be unnoticeable 
 when the applicant is dressed is not a cause for rejection. 
 
 (I)) Fractures and dislocations of the vertebra; and vertebral caries (Pott's 
 disease) are causes for rejection. 
 
 46. Pelvis. — («) Malformations and deforiniti.s of tlic pelvis sufficient to 
 interfere with function are causes for rejection. 
 
 (h) Perineal urinary fistula, fistula in aim, and stri(l>in> and prolapse of 
 the rectum are causes for rejection. 
 
 (c) Fissure of the anus and hemorrlioiils sullicii'nt in sizr to iimduce symp- 
 toms are causes for rejection. 
 
 47. Kidneys and bladder. — (a) Acute or chronic nephritis, definitely estab- 
 lished by urinary examination, is a cause for rejection. 
 
 ((j) Albuminuria is a cause for rejection. 
 
 (c) Floating kidney, hydronephrosis, p.vonephrosis, and renal calculi are 
 causes for rejection. 
 
 (cZ) Chronic cystitis, vesical calculi, incontinence, and retention of urine are 
 causes for rejection. 
 
 48. Urethra. — (o) Epispadias, hypospadias, urethral fistulre, and strictures 
 sufficient to produce symptoms are causes for rejection ; so also are chronic 
 prostatitis and prostatic calculi. 
 
 49. Genital organs. — (a) Hermaphroditism and absence or total loss of the 
 penis are causes for rejection. 
 
 (h) Phimosis is a cause for rejection only when it is complete; that is, 
 when the glans penis can not be uncovered. 
 
 (c) Varicocele is not a cause for rejection uidess it is painful or so large 
 as to interfere with locomotion. Varicocele seldom constitutes a disability, 
 and frequently occurs among the most rubust men, often without their being 
 aware of its presence until attention is called to it. The existence of a vari- 
 cocele .should always be noted as well as the statement of the applicant as to 
 whether or not it has ever given pain or other symptoms. 
 
 (d) Simple hydrocele of the cord or tunica vaginalis, if of moderate size and 
 unaccompanied by subjective symptoms, is not a cause for rejection. 
 
15 
 
 («-) I'riiiiouiRttl utn>|>l>>' "t ImxIi lf*tkl«« nr lu%» ut liutii orsn>u>. tlu«> to 
 o(M-rutlun ur lu acrlileiical fauaeii, U UlMiuallfylni:. The Iimm ur airuitliy uf une 
 '>'-<tii-lf, tilt- ullior bflng noniiul, U not (ll«|uallf> iiii:. 
 I ft L'iiJiimi'IhIwI lectU-lr l« a mum- f<ir r«?J«x-tlou. 
 !(/( i'hr«iilc orrhllln nr fplillilyiulllii I* a i-uuM for rejwtl-m. 
 .Vi Vpoprral di»ea»r>. — KyiihllU, cuiuirrlunt, niut cIuiiutuIiU are cauww fur 
 r.-J'- ll-M 
 
 .M. Eslrrmltlra.- i u i All uiw>iuall«« In Ilit- iiuiiiImt, tlif furm, aiMl tlii.- pro- 
 I 'rlluii of lite extrviiiltliii, iiruUuHiit; iiullreablf dvfuruilt)' ur liilvrfvrltiic wUb 
 < I fiction, ore cuuiieii fur r«*J«Htlon. 
 
 ibt iH-vlntloh of the iiorninl nxU of tlii> forvarm ao nuirkoil a* tu Intcrfer* 
 vNlth thf |>ro|ifr uxn-ullon of iIh* manual of anus U a nivnn.' for r«>>-<-tlou. 
 
 <i-) Atro|ihy of the niUM-ltii, flihiT coniscnilal or acqulriM, I* a icnoMf tor 
 i>J«.illon. 
 
 Id) olil iinuiilttHi fraiiurfM, fruflurtv with nhorn-nhiK or rallou« forinuthm 
 
 iilliiiMit to InicrfiTf with fiuii-tloii, ohi ilUliK-ntlonii, unnilutiil or imrilully 
 
 ■ ■lurt'^l, ■'•iinplcU- or iiartliil nnkylunlii of a joint, ami rclnxMl arllculur llga- 
 
 • iitH |M*riultllnt; of frv«|tifnt voluntary or Inxoluntury ilU|>lui->-na'iit are <-niuh<a 
 
 :'r rpJc«<tlon. 
 
 I (' ) Ititlui-itl illalot-atlonii and unllMl fracture* with Incomplete rexlorutloo 
 r funitlon are caujM* fur rejection. 
 
 If) Amputation of an vMentlal |H>rtlon of a limb and rcm-ctlun of a >>lnt 
 1.- ,iiii«-H r..r r.O«ilon. 
 
 • urvaiure of a Ionic Iww, niiil eMeiuilvc, d«fp, or mllM-rent 
 «lth motion on- 4-auiMfi for rejivtlon. 
 -I'lnlnii ure cauaea for rejection. 
 iM Uhronti- itlfMui of a limb, chronic ii>novltli), and floatlni; cartilage In • 
 Joint are cauwn for n>J«'ctlon. 
 
 If) VarUiMie volnM In an extremity, iiidcM allKht, are cnuao for r«-j^<^l>^ii- 
 ill riiroiilc nnil olntlnnlc n<>umk'lii«, nml partUiiliirly M-lntlca. are cnuaca 
 r rcJ<'«tlon. 
 
 (/) .\dh('r<'nt or unllttl Itnici'nt dUi|uallfy. IVnmiiient lleslon or exten!<loD 
 ut on<> or mon< tlnisi-rH. iih well u* IrreMHHiliibh- UM-t of motion of iliew lurtM. 
 <llH<|ualltlf7t. IVrnmniMit (xirtlal lU-xlon of the M'<^>tld auil third JolntM of the 
 little tlniser doen nut dlMiuallfy. pruvhled there Im mobility of the llrxt joint, 
 irn) Total Umh of either thumb dl«iualllle*. 
 
 (N) Mutllallcm of either thumb to «uch an extent an to pro«luc« inntertnl Iuh* 
 ' tloxlon or ntreiiitth of the memlM-r dlw|unlin<-H. The cotiiiikMi dUtortlon of 
 .• extn>mlty due to i-iintunlon or felon nee«l not dUqualify. 
 if>) I..XW of m««r«' thun om> phnlanx of tlw rluht ImUx tinicer dlnqualine)!. 
 ip) I^mt of the termliml and nihUlle plutlanee* of any two nuKeni on lh« 
 uiie IuiihI diaquaiinen. 
 m;> Kntire loss of any nnc»r, exce|>t the Utile flnser. of vlllter luind dl»- 
 iaiilinosi. 
 
 \r} Su|>ernuiiH-rary dlRlH. *• ullualeil aa not to Interfere with the funflh'na 
 f the haml or nnitt>ni. do not diwiuallfy. 
 
 Hon. It iK dl»- 
 <n of a auldier, 
 
 -■" ,,.,,.,..,.. ,.. ,..,ki ...■■. ....... -II. .J.-. II.. -... ..!.(.. Ilia of ' 
 
 I M) Itow less l« o cause for rvji>ctlon only wtwn* ao vsopMlve aa to prmtuco 
 
 'ticenble deformity when the ap|>ilcnnt I* dr nw f j . 
 
 ir) Clubfmit U disqunllfyins. 
 
 (W) P»>9 cavus (hollow fiwt) of HMxIenile decrtv l« not dlaquallfyinc 
 
16 
 
 weak foot. .sinii)li' sinUiiiK of the iiroli of the foot is extremely common, mid 
 unless attended with suljjective sj-mptonis is of no consequence. 
 
 {!)) Tlie strengtli of the foot sliould be tested l)y re(iuiring tlie aiipllcunt to 
 walk on his toes (the soles of the feet beinj; nearly vertical with the floor) 
 and to hop on the toes of each foot. He sliould be able to rise on the tip toes 
 strongly, to hop well, and to alight on tlie toes after springing from the 
 ground. I'ronounced ca.ses of Hat foot, attended with marked eversion of the 
 foot and marked bulging of the inner border due to Inward rotation of the 
 astragalus, are disqualifying regardless of the presence or absence of subjective 
 symptoms. 
 
 (z) Loss of the great toe or loss of any two toes on the siuin' fcMit are causes 
 lor rejection. 
 
 (aa) AVebbing of all the toes is a cause for rejection. 
 
 (bb) Overriding or superposition of any of the toes to such a degree as to 
 produce subjective symptoms is a cause for rejection. 
 
 (cc) Ingrow-n toenails (usually of the great toe) are ilisqualifying unless 
 very slight. 
 
 (dd) Hallux valgus is disqualifying when sufficiently marked to interfere 
 with locomotion or when accompanied with a painful bunion. 
 
 (ee) Bunions sufficiently pronouiKcd to iiiterfeiv with function are dis- 
 qualifying. 
 
 iff) Supernumerary toes are causes for rejection when they interfere with 
 walking or produce other subjective symptoms. 
 
 (!/g) Hammertoes are cause for rejection. 
 
 (Ml) Corns on the sole of the foot are disqualifying wlien they are tender 
 or painful. 
 
 (m) Hyperidrosis and bromidrosis are disqualifying. 
 
 (}j) Men whose feet are habitually sodden, with blistered skin, should be 
 rejected. 
 
 STANDARD B. 
 
 1. Standard B examination applies only to proniotidU to the grade of warrant 
 officer and to reenlistinent in lases where the applicant is not required to 
 qualify under Standard A. 
 
 2. The requirements for Standard B examination are tho.se prescribed for 
 Standar<l A, except as indicated below: 
 
 (a) The rules relative to flat foot shall not apply to candidates for promo- 
 tion to warrant officer. 
 
 (6) Candidates for promotion to warrnnt officer may be passed if they are 
 provided with artificial teeth, eitlier bridge work or plates, which enable 
 them properly to masticate tlieir food. 
 
 (c) Candidates for promotion to inninnt nffircr should nut be rejected un- 
 less they have defects which woulil be likely to interfere materially with the 
 efficient discharge of their duties. 
 
 (rt) Candidates for promotion to icnrnint officer and apiAicnntg for rccntist- 
 ment wearing eyeglas.ses are eligible, resjiectively, but they must have an un- 
 corrected vision of at least 20/40 in one eye and 20/70 in the other eye. 
 
 (c) Candidates for promotion to icnrranf officer and aiiiiiicanta for reenlint- 
 mcnt should not be rejected for overweight if they are active and their respira- 
 tion does not become unduly labored after exercise. 
 
 (/) Applicants for rccnliatmcnt should not be rejected if they have defects 
 which are normal for their age, unless such defects are clearly not incident to 
 service, or unless such defects make it impossible for them to perform the 
 duties required of them in the Coast Guard. 
 
 o 
 
THIS BOOK IS DUE ON THE LAST DATE 
 STAMPED BELOW 
 
 AN INITIAL FINE OF 25 CENTS 
 
 WILL BE ASSESSED FOR FAILURE TO RETURN 
 THIS BOOK ON THE DATE DUE. THE PENALTY 1 
 WILL INCREASE TO SO CENTS ON THE FOURTH 
 DAY AND TO $1.00 ON THE SEVENTH DAY , 
 OVERDUE. 
 
 SEP SI lo-iQ 
 
 
 
 
 
 ' 
 
 SEP 21 1939 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 LD 21-20m.5,'39(9269.s) 
 
 m 
 
■d<^t'^7 
 
 UNIVERSITY OF OXUFORNIA UBRARY