Class C. Those having a fair average record and who are free from organic defects.
Class D. Those having some definite organic disease which, in the judgment of the examiner, would make it dangerous for the individual to undertake any confining or laborious occupation.
Only those who come under Class “A” or “B” should be recommended for any confining or laborious occupation. By suitable methods for the correction of faulty habits of hygiene and systematic physical training for one year those in Class “C” should be able to gain admittance to one of the first two classes.
To be most beneficial to the candidate, after the physical examination is completed, there should follow a brief personal talk, making suggestions for the correction of faulty personal hygiene; and where medical treatment is indicated, instructions to place herself under the care of a physician. This has from the first been the policy of the board and of the medical examiner.
And on their part, the candidates are now beginning to thoroughly realize that these examinations are decidedly to their advantage and regard them as a privilege to which they are entitled. And the majority of them go out with the determination to get and keep well and strong.
SPECIAL MEDICAL BLANK FOR WOMEN
Report of Medical Examiner
In the case of
Address,
Place of birth,
Age, Occupation,
I. Heredity: Adverse Family History.
Tuberculosis?
Insanity or tendency to nervous exhaustion?
Cancer?
Heart disease?
Kidney disease?
Personal History.
Acute diseases since childhood?
Number of days lost in past year through illness?
Notable increase or decrease of weight during the past year?
Present Condition.
Nutrition, color, and condition of skin?
General appearance, as indicative of health?
Dress: Habits of: 1 inch heels?
II. Heart and Circulatory System.
Temperature?
Size of heart? Force of apex-beat?
Murmurs?
Blood-pressure: Maximal? Minimal?
Pulse at rest? Horizontal? Vertical? After strength tests?
Pulse, Character: Normal? Intermittent?
Irregular? Unequal?
Blood examination.—
Absence of varicose veins and hemorrhoids?
III. Lungs and Chest Development.
Respiration: Frequency? Normal? Shallow? Deep?
Auscultation? Adventitious sounds?
Girth of chest: Repose? Forced insp’n? Forced exp’n?
Ninth rib: Repose? Forced insp’n? Forced exp’n?
Normal, in relation to height?
Depth of chest: Repose? Forced insp’n? Forced exp’n?
Lung capacity, measured by spirometer?
Girth of waist?
Nose: Normal? Obstructed?
Throat: Normal? Catarrh? Tonsils: R.? L.?
IV. Digestive System.
Teeth: Good? Fair? Poor?
Tongue: Clean? Coated? Pale?
Breath?
Functional derangement of stomach?
” ” ” intestines?
” ” ” liver?
Normal size of liver and absence of tenderness?
Normal size and position of stomach and intestines?
Regularity of stools with normal color and consistence?
Constipation? Diarrhea?
Appendicitis?
V. The Kidneys.
Quantity of urine for twenty-four hours?
Frequency of urination?
Specific gravity and reaction?
Indican?
Albumin?
Sugar?
Casts?
Position of kidneys?
VI. The Nervous System.
Tendency to headache?
Character of ”
Pain or tenderness of spinal cord?
Number of hours that can now be spent in study daily?
Tendency to nervous exhaustion?
Character of sleep: Insomnia?
Mental poise?
VII. Generative Organs.
Position and size of uterus?
Inflammation of uterus?
Position and size of ovaries?
Inflammation of ovaries?
Menstrual flow: Quantity? Frequency?
Pain: Before? During flow? Length of time?
Vaginal discharge?
VIII. The Muscular System.
Height? Weight? Normal?
Stretch of arms? Breadth of shoulders? Breadth of hips?
Posture: Sitting? Standing? Walking?
Figure?
Shoulders: Round? Sloping? Scapula prominent?
Spine? Lateral curvature?
Abdomen: Normal? Protuberant?
Feet: Weak ankle: R.? L.? Weak arch: R.? L.?
Flat: R.? L.?
Strength of right forearm? Of left forearm?
Strength of back? Strength of legs?
Strength of upper arms (push up)?
Strength of upper arms (pull up)?
IX. Tests of Endurance.
How long a time is spent daily in physical exercise?
What form?
What is the average rate of speed in walking?
Does hill climbing cause shortness of breath?
What outdoor sports are practised?
Length of time required for test walk of three miles?
Pulse before? After?
Heart reaction to exercise: Hopping 100 feet?
Ocular Tests.
Distant vision: Right? Left?
Astigmatism?
Aural Tests.
X. General Impression of Working Efficiency.
Temperament?
Personality?
Self-control?
Initiative?
Capability?
Suggestions for Faulty Personal Hygiene.
Indications for Medical Treatment.
Remarks.
Signature of Medical Examiner, , M. D.
Address,
Date,
Self-made Good Physique Through Physical Training.—It has not infrequently happened that, by outdoor life and physical training, young men and women of frail constitutions have developed into strong, robust, and even physically powerful men and women.