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# Notes for Examining PhysicianWeturr.--Males, without clothing, and also in ordinary clothing without overcoat or hat (weigh twice); females clothed, but without wrap or hat. If overweight, state whether due to bone and muscle or to fat.Hrmour-Without boots or shoes, observe that no appliances are used to increase.The examination should include the following observations:1. Eyon.--Ptosis; discharge; corneal scar; pterygium. In recording distant vision consider 20 feet as normal and report all vision as a fraction with 20 feet as numerator and the smallest type read at 20 feet as denominator. If glasses are used, record for each eye the finding with and without glasses. Near vision must be reported. In testing vision without glasses the applicant or appointee should be instructed to remove the glasses at least one-half hour before testing uncorrected vision.2. Ears.--Evidence of middle ear or mastoid disease; condition of drums; discharge. In recording hearing, record 20 feet as normal distance for conversational voice and word deviation from normal as fraction with 20 as denominator and actual distance as numerator.3. Nose.--Ability to blow through each nostril. If free, a speculum examination would not be indicated.4. Mouth and throat--Missing teeth, pyorrhea; tonsils, hypertrophy or disease.5. Gastro-intestinal.--Ulcers, inflammations, etc.6. Thyroid-Presence of tumor in neck and tremor, exophthalmos; nervous high-strung disposition, especially in women7. Heart.--Murmurs, State whether functional or organic. If valvular disease exists, state whether or not it is fully compensated. Arteriosclerosis.Record of urinalysis, if made: Sp. gr. .................. Albumen ..................If tachycardia is present, give pulse rate: Sitting .................. Immediately after exercise .................. Two minutes after exercise ..................Cardiac reserve .................. (Good, fair, or poor)8. Lungs-It is necessary that the auscultatory cough be listened. It tuberculosis is present, state whether action of arrested; if arrested, state your opinion as to how long it has been quiescent. Sputum to be examined for tubercle bacilli in all suspected cases.9. Hernia. Give details as to size, location, etc., and whether well-fitting truss is worn. Inguinal hernia exists when ring is enlarged and on coughing visceral impulse is felt which follows the finger on withdrawal.10. Varicocele-If varicocele is present, state approximate size as size of walnut, lemon, etc.11. Flat foot of such a nature as to incapacitate or become aggravated by work or be alleged later to have been caused by accident or occupation. By "flat foot," as used in this form, is meant a sore foot with impaired function, the term being equivalent to "fallen or misplaced arch," an abnormal condition. Impairment of function is the point to be noted. An anatomically fat foot, but strong, is not disqualifying.12 and 13. Scars, deformities, atrophies, and paralysis should be noted, but it is not important that small insignificant scars or blemishes which might be referred to as marks of identification be recorded.14. This entry should include symptoms and full history of any mental or nervous abnormality.15. Urinalysis to be made in case of persons over 40, and in all case where arteriosclerosis, nephritis, or diabetes is suspected, and when obesity is found on examinationSugar .................. Casts ..................I have found this applicant abnormal under the following headings:In my opinion, applicant is capable of performing duties involving moderate physical exertion.REMARKS: History of measles last recurrence 1942.![Signature of applicant]![signature of examining physician]The examining physician must be a duly licensed doctor of medicine (M. D.)Full time? .................. Part time? .................. Fee paid? ..................The personnel officer should fill in the blanks below before sending this form to the Commission for actionTo be appointed in .................. (Department) .................. (Bureau)Title of position ..................Type of appointment (check): Original appointment Transfer Reinstatement ClassificationNumber of certificate upon which applicant's name appears (to be given in case of original appointment) ..................