XX INTRODUCTOEV. 



Be)))arks. — This completes the general examination. The objects to be observed 

 and noted in this part are the following : The existence of any obvious defects in 

 physical constitution ; the formation and development of the limbs ; the power of 

 motion in joints, especially in the feet and hips ; flatness of the feet ; formation of the 

 toes ; skin-disease ; varicose veins ; cicatrices or ulcers ; marks of the letter D, or 

 letters B C ; and any special marks from congenital or accidental causes. If any 

 obviously disabling defects be noticed in the general examination, it is, of course, not 

 necessary to proceed with the exercise further. If no such defects be found, the 

 second part of the examination is at once proceeded with. 



SPECIAL EXAMINATION.' 



A.— The trunk 



The trunk is examined fi-om below upward. The recruit stands with his arms 

 extended above his head, the backs of the hands being in contact. The following is 

 the order of inspection : 



1. The surgeon notes indications of venereal disease. 



2. He examines the scrotum to ascertain if the testicles have descended and be 

 normal, or if there be varicocele. 



3. He inserts the point of his finger in the external abdominal ring of each side, 

 and desires the recruit to cough two or three times to ascertain if he be ruptured or 

 liable to that condition. 



4. He examines the abdominal walls and parietes of the chest. 



5. He desires the recruit to "take in a full breath" several times, while he watches 

 the action of the chest. Careful stethoscopic examination is made. 



G. He examines the action of the heart and notes its sounds. 



JRemarlis. — This subdivision comprehends the inspection for venereal disease, disease 

 of the testes, varicocele, hernia, visceral disease of the abdomen and chest, and capacity 

 of chest. 



B. — The knver extremities and had: 



The inspection is made from below upward. The recruit first faces the surgeon ; 

 afterward turns his back to him. The following are the directions given : 



1. Stand on one fopt ; put the other forward. 



2. Bend the ankle-joints and toes of each foot alternately backward and forward. 



3. Turn round ; kneel down on one knee. 



4. Up again. 



6. Down on the other knee. 



6.' Down on both knees, and up from that position with a simultaneous spring ol 

 both legs. 



7. Separate the legs. 



8. Touch the ground with the hands. 



While the recruit performs these movements, the surgeon observes the action of 

 the knee-joints and the condition of the perinceum and of the spinal column. 



Remarks. — This subdivision includes the inspection for defects of the toe, ankle, 

 and knee joints; for luBinorrhoids, prolapsus aui, fistula in perinteo, and spinal 

 deformity. 



