The Tables of Indications and Summaries have been added to assist in gaining a clear picture of the child’s condition and the factors calling for special constructive measures, elimination, treatment, improvement, or development.
Physical Measurements[28]
Name_____________________ Age: Years_____ Months_____ Weeks_____
Height standing[29]_____ In._____ Under Average_____ Over
Height sitting_____ In._____ Under Average_____ Over
Weight_____ Lb._____ O—z._____ Under Average_____ Over
Circumferences: Head_____ Chest_____ Abdomen_____
Diameter of Chest: Anterior-posterior_____ Lateral_____
Chest Expansion__________ Lengths: Arm_____ Leg_____
Physical Inspections
| General Appearance: | Robust | Anemic |
| Vigorous | Languid | |
| Posture, standing: (2) | Erect | Stooping |
| Chest sunken | ||
| Head forward | ||
| Abdomen forward | ||
| Posture, sitting: (1) | Erect | Chest sunken |
| Back curved | ||
| On hips | On curve of spine | |
| Gait: (4) | Normal | Waddling |
| Elastic | Heavy | |
| Toe forward | Toe in | |
| Toe slightly outward | Toe outward | |
| Head: | Shape normal | Box shaped |
| Not symmetrical | ||
| Fontanel closed | Fontanel not closed (after 18 months) | |
| Hair: | Color | Scant |
| Abundant | Rough | |
| Even | Brittle | |
| Fine | ||
| Coarse | ||
| Scalp: | Clear | Scurf |
| Pink | Dandruff | |
| Eruptions | ||
| Vermin |
Figures at right in parentheses indicate age at which observation may normally or profitably begin, if not applicable during first year.
| Features: | Regular | Unsymmetrical |
| Eyes:[30] | Color | |
| Clear | Muddy | |
| Sparkling | Dull | |
| Intelligent | Staring | |
| Normal | Crossed | |
| Protruding | ||
| Squint | ||
| Good condition | Inflamed | |
| Watery | ||
| Discharge | ||
| Frown | ||
| Work held near | ||
| Farsighted | ||
| Nearsighted | ||
| Headaches | ||
| Eyelids: | Normal | Swollen |
| Inflamed | ||
| Sore | ||
| Discharge | ||
| Styes | ||
| Granulated | ||
| Drooping | ||
| Nose: | Large | Small |
| Pinched | ||
| Bridge normal | Bridge sunken (normal during first year) | |
| Discharge | ||
| Obstructions, e.g. adenoids | ||
| Snuffles | ||
| Mouth: | Well-shaped | Ugly shape |
| Large | Held open | |
| Small | Deformed by pacifiers or thumb sucking | |
| Breathes through mouth | ||
| Canker sores | ||
| Breath sweet | Offensive | |
| Tongue: | Clear | Coated |
| Normal | Protruding | |
| Swollen | ||
| Tied | ||
| Teeth: | Number | Delayed first teeth |
| Delayed second teeth | ||
| Prolonged retention first teeth | ||
| Extra teeth | ||
| Regular | Irregular | |
| Projecting | ||
| Good condition | Discolored | |
| Tartar deposits | ||
| Decayed | ||
| Gums: | Healthy | Pale |
| Bleeding | ||
| Spongy | ||
| Swollen | ||
| Receding | ||
| Throat: | Clear | Swollen |
| Enlarged tonsils | ||
| Strong | Subject to sore throat | |
| Coughs | ||
| Lips: | Full | Thin |
| Swollen | ||
| Ruddy | Pale | |
| Good condition | Sore | |
| Chapped | ||
| Fissured | ||
| Chin: (2) | Normal | Receding |
| Projecting | ||
| Firm | Weak | |
| Jaw: (2) | Firm | Weak |
| Strong | ||
| Ears: | Large | Small |
| Projecting | ||
| Normal | Misshaped | |
| Good condition | Sore behind ears | |
| Discharge | ||
| Earache | ||
| Hearing normal | Defective | |
| Neck: | Normal size | Small |
| Swollen glands | ||
| Scars | ||
| Skin: | Free from blemishes | Rough |
| Scaly | ||
| Pimples | ||
| Eczema (where located) | ||
| Ringworm | ||
| Clear | Muddy | |
| Ruddy | Pale | |
| Tanned | ||
| Freckled | ||
| Firm | Soft | |
| Puffiness under eyes | ||
| Muscles: | Firm (½) | Flabby |
| Well developed (1) | Weak | |
| Especially | ||
| Back | ||
| Trunk | ||
| Grip | ||
| Leg | ||
| Complementary pairs | Unequal in balance | |
| balanced (1) | ||
| Back and chest | ||
| Right and left of trunk | ||
| Right and left of neck | ||
| Right and left of back | ||
| Back: | Straight | Curvature; anterior-posterior |
| Curvature; lateral, to right | ||
| Curvature; lateral, to left | ||
| Shoulders: | Erect | Stooped |
| Square | Sloping | |
| Equal | Unequal (which lower) | |
| Blades flat | Projecting | |
| Chest: | Expanded | Sunken |
| Deep | Flat | |
| Shallow | ||
| Barrel-shaped (after 1 year) | ||
| Funnel-shape (breast bone sunken) | ||
| Pigeon-breast (breast bone prominent) | ||
| Symmetrical | Unsymmetrical | |
| Beaded ribs | ||
| Good expansion (3) | Poor expansion | |
| Abdomen: | Firm | Flabby |
| Hard | ||
| Normal | Distention | |
| Rupture at navel | ||
| Inflammation at navel | ||
| Rupture at groin | ||
| Arms and Hands: | Equal length | Unsymmetrical |
| Normal | Enlarged Joints | |
| Clubbed fingers | ||
| Ambidextrous | ||
| Right-handed (1) | Nails discolored | |
| Left-handed | Nail defects | |
| Legs: | Equal length | Unequal |
| Straight | Bowed | |
| Knock-knee | ||
| Enlarged joints | ||
| Ankles strong | Weak | |
| Feet: | Arch normal | Flat foot (1½) |
| Stands squarely (2) | Shoes run over: | |
| outer edge | ||
| inner edge | ||
| heels | ||
| Well shaped | Toes pinched | |
| Swollen | ||
| Unblemished | Callouses | |
| Corns | ||
| Bunions | ||
| Defective nails | ||
| Excessive perspiration | ||
| Chafed toes | ||
| Genitalia: | Normal | Inflamed |
| Discharge | ||
| Protruding of rectum | ||
| Itching | ||
| Buttocks chafed | ||
| Nerves: | Steady | Explosive |
| Dull | ||
| Fears: (specify objects) | ||
| Irritable | ||
| Restless | ||
| Endurance | Easily fatigued | |
| Normal | General misbehavior | |
| Tantrums, hysteria | ||
| Malicious destruction | ||
| Bed-wetting | ||
| Nail-biting | ||
| Masturbation | ||
| Headaches | ||
| Convulsions | ||
| Motor Coördinations: | Steady (for age) | Retarded |
| Sits alone (½) | Stumbling (3) | |
| Creeps (9 mo.) | Dropping things (3) | |
| Stands (1 year) | Speech defects (3) | |
| Walks alone (1½) | Spasmodic movements | |
| Controls eliminations | Twitching of eyes, face, muscles | |
| Urine (1) | Chorea (St. Vitus’ Dance) | |
| Feces (2) | Paralysis (what muscles) | |
| Holds own cup (1) | ||
| Holds own spoon (1) | ||
| Runs (2) | ||
| Marches (3) | ||
| Claps to rhythm (3) | ||
| Feeds self neatly (3) | ||
| Dresses self (3) | ||
| Skips (4) | ||
| Uses scissors (5) | ||
| Normal | Other abnormalities | |
| Nutrition: | Appetite good | Poor |
| Hungry between meals | ||
| Gluttonous | ||
| Simple food relished | Overfastidious | |
| Abnormal appetites, e.g., dirt, chalk | ||
| Good digestion | Colic | |
| Regurgitation, eructations | ||
| Gas in stomach | ||
| Intestinal gas | ||
| Nausea | ||
| Elimination: | Urine: Clear | Cloudy |
| Straw color | Dark | |
| Bloody | ||
| Odor slight | Strong | |
| Painless | Painful | |
| Irritating | ||
| Normal quantity | Scant | |
| Excessive | ||
| Retained | ||
| Stools: Smooth (infancy) | ||
| Well-formed | Watery | |
| Mustard color (infancy) | Green | |
| Black | ||
| Bloody | ||
| Undigested curds | ||
| Slight mucus | Much mucus | |
| Odor slight | Strong, offensive | |
| 1 to 3 passages daily | Constipation (less than 1) | |
| Diarrhea | ||
| Perspiration: | ||
| Slight | Excessive: head, under arms, cold sweats | |
| Odor slight | Sour | |
| Sleep: | Quiet | Restless |
| Sound | Wakes easily | |
| Dreams | ||
| No. hours | Nightmares | |
| Nap | No nap | |
| Sufficient for age | Insufficient | |
| Respiration: | Deep | Shallow |
| Diaphragmatic | Chest | |
| Mouth breather | ||
| Regular | Irregular | |
| Normal count | Rapid | |
| Slow | ||
| Pulse: | Regular | Irregular |
| Firm | Weak | |
| Normal count | Rapid | |
| Slow | ||
| Circulation: | Efficient | Sluggish |
| Cold hands | ||
| Cold feet | ||
| Temperature: | Normal | Irregular |
| High |
The following examinations can be made only by specialists. Physician or physical education director:
Heart, lungs, genitalia; liver, spleen; hernia; sinuses, ductless glands
Enlarged tonsils, adenoids; defects of palate; blood pressure; arteries