Norwich bulletin., 1917-07-26

nation, loss of voice or manifest al- teration of it. The person must have at least four serviceable molar teeth, two above and two below on one side and two above. and two below on the other side. and so opposed as to serve the purpose of mastication. A good fitting bridge or plate where not more than one half of the teeth are involved is not disqualifying
 Disease of tho NostriIs.
 Obstruction of nostrils. or foul dis charges indicative of ozena.
 Simple atrophic rhinitis is readily curable. Nasal polypi often mean chronic sinusitis, but are not a bar to acceptance for military service. Sunk en or scared nose is often indicative of syphilis. while a red. bulbous nose suggests alcoholism or indigestion
 ''Neck-Pronounced goiter, great enlargement or alteration of the cer- vical glands
 "Chest-Diseases of lungs and the heart. especially in fiat or narrow or malformed chest. Tn examining the heart care must be taken not to as- cribe to disease the hurried, sharply accentuated action sometimes due to nervousness, fright of embarrassment or the irregular action caused by the excessive use of tobacco. Nor should the examiner attach undue import ance to the systolic murmurs often heard in growing athletic youths,
  ture.
 "Abdonsn-Chronic inhammations of the gastro intestinal tract, includ- ing chronic diarrhoea and dysentery and other diseases of the contained organs: great care should be exer- cised before exempting for these con- ditions; hernia in all situations.
 "Anus-Hemorrhoid of a pro nounced type. prolapsus. fistula and tissues.
 "Genito urinary organs Syphilis when discerned by inspection and phy- sicaI examination tight urethrag chronic orchitis, marked hydrocele; chronic disease of the bladder and kidneys. Varicocele does not consti- tute a cause for rejection unless it is so large as to interfere with loco motion: it frequently occurs among the most robust men and often with out their being aware of its exist ence. Gonorrhoea, acute and chron- ic, is not disqualifying, but individ- uals so affected should be advised i'm mediately to secure appropriate medf- cal treatment pending receipt of or ders to report for duty.
 Rheumatic Disabilities.
 Affections common to both ex- remities-chronic rheumatism and diseases of the joints of disabling joints. old dislocations if attended with impairment of motion or distor tion of the joint, severe sprains, chron- ic synovitis, badly united fractures, extensive or adherent scars, perma nent contraction of muscles.
 "Hands-Webbed fingers. permanent feion. extension or loss of motion of one or more fingers; loss or seri, GUS mutilation of either thumb, total loss of index finger of the right hand, total loss of any two fingers of the same hand. or less of the second and third phalanges, of all the fingers of
 Lower Extremities - Pronounced varicose veins. especially when at tended with edema or marks of ul- ceration. pronounced knock knees. club feet, flat feet, webbed toes, bun ions, overriding or marked displace- ment or deformity of any of the toes, hammer toes.
 The shinbone, If rough, nodulated and tender suggests syphilis.
 "A broad. flat sole is common in classes, particularly among negroes. and is in no way disabling. In the flat foot which renders a man unfit for service the arch is so far on the ground. with the inner ankle lowered and very prominent. and the foot apparently pushed outward. Flat feet are not infrequently the result of process.
 Defects Must be Unmistakable.
 "4-Any of the physical deficiencies m entioned above must be present in such degree to clearly and unmis- takably disqualify the man for mili- tary service before he can be found to be physically deficient and not phy sically qualified for military service.
 "5-Temporary effects of acute dis ease or of an injury are not to be regarded as iustifying a finding that the person so affected is physically deficient and not physically qualified for military service. but may be re- sarded as justifying req asonable de- lay in completing the physical exam nation in order that an opportunity for recovery may be afforded.
 "6-Upon the recommendation of the provost marshal general. medical officers will be directed, from time to