instance within the standards of unconditional acceptance or without 

 remediable defect." The new regulations provide special examina- 

 tions and standards for unconditional rejection and for unconditional 

 acceptance, with or without remediable defects on reference to the Med- 

 ical Advisory Board. The final classification of the registrant ''physi- 

 cally qualified for special or limited military service," depends entirely 

 upon the recommendations of the Medical Advisory Board and not 

 upon the action of the Local Board. As illustrations of the lesser 

 degree of rigid conformity to earlier theoretical principles of examina- 

 tion, the following are of interest : 



Chronic alcoholism. The registrant on examination must show suffused eyes, 

 prominent superficial blood-vessels of nose and cheek, flabby, bloated face, red 

 or pale purplish discoloration of the mucous membrane of the pharynx and soft 

 palate ; muscular tremor in the protruded tongue and extended fingers, tremu- 

 lous hand-writing, emotionalism, prevarication, suspicion, auditory and visual 

 hallucinations, persecutory ideas. The history or evidence that the registrant has 

 been frequently or grossly intoxicated is not of itself sufficient for a diagnosis of 

 chronic alcoholism and rejection. 



Skin Conditions. Accept registrants who have skin diseases which run an 

 acute or temporary course, or are trivial in character, or do not interfere with 

 the general health, or are not incapacitating. Among the common skin condi- 

 tions coming in this category are : Acne, Anomalies of Pigmentation, Scars. 

 Condylomata, Diseases produced by pus infection, Eczemas which have not been 

 of long duration, all forms of Naevi not producing great disfigurement or 

 deformity, all forms of Pediculosis, Scabies, Psoriasis, all forms of Ring 

 Worm, Warts, Callosities. 



Syphilis. Accept all registrants with syphilitic lesions of the skin. 



Conditions of the Neck. Accept registrants with normal necks, moderate 

 enlargement of the thyroid with no toxic symptoms. Accept with a few pal- 

 pable lymph glands with or without healed scars and no sinuses. 



Lungs. Reject no registrants for diseases of the lungs, pleura, mediastinum, 

 and chest wall, except men with tuberculosis or other diseases of lungs, pleura, 

 and mediastinum, who are confined to their beds, when verified histories establish 

 unmistakably the existence and long duration of diseases. 



Heart and Blood-vessels. Following specific instructions regarding the exami- 

 nation to be made by physicians of the Local Boards, the regulations read that 

 after this examination the Local Board shall accept all registrants who come 

 within the standard for unconditional acceptance, which is as follows : 



Standard for Unconditional Acceptance. Subjects with apex impulse within 

 the left nipple-line and not below the fifth interspace, of normal, not heaving 

 character, with normal sounds, free from murmurs, without pulsation or dullness 

 above the base of the heart, with regular pulse of normal rate, who have no 

 unusual thickening of the arteries or evidence of high blood pressure, and who 

 show a normal response to the exercise test, may be unconditionally accepted. 



Abdomen. Accept all registrants who give a history of abdominal trouble 

 suggesting a chronic appendicitis or gall-bladder disease and who on examination 

 present no signs of such diseases. 



Accept all registrants with small or medium reducible inguinal, femoral, 

 umbilical, and post-operative hernia. 



Accept all registrants with abdominal scars who give a history of operation 

 for hernia, appendicitis, gall-bladder disease, or for some abdominal injury, 

 providing there is no large hernia in the scar. 



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