CHAPTER 2 MEDICAL FITNESS STANDARDS FOR APPOINTMENT, ENLISTMENT, AND INDUCTION (SHORT TITLE: PROCUREMENT MEDICAL FITNESS STANDARDS)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-03581R000200010120-3
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• Document Creation Date: December 9, 2016
• Document Release Date: March 14, 2000
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C 13, AR 40-501
CHAPTER 2
MEDICAL FITNESS STANDARDS FOR APPOINTMENT, ENLISTMENT, AND INDUCTION
(Short Title: PROCUREMENT MEDICAL FITNESS STANDARDS)
2-1. Scope
This chapter sets forth the medical conditions
and physical defects which make an individual
medically unacceptable for-
a. Appointment as a commissioned or warrant
officer.
b. Enlistment.
c. Induction.
2-2. Applicability
These standards apply to-
a. All men and women being considered for
appointment or enlistment in the United States
Army, regardless of component, as well as enroll-
ment in the Advanced Course Army ROTC and
other personnel procurement programs other than
induction where these standards are prescribed.
For medical fitness standards during" a period of
mobilization see chapter 6.
b. All individuals undergoing medical examina-
tion pursuant to the Universal Military Training
and Service Act, as amended, except Medical and
Dental Registrants, who are to be evaluated under
the medical standards contained in chapter 8.
For medical fitness standards during a period of
mobilization see chapter 6.
2-3. Abdominal Organs and Gastrointes-
tinal System
The causes for rejection for appointment, en-
listment, and induction are-
a. Cholecystectomy, sequelae of, such as post-
operative stricture of the common bile duct, re-
forming of stones in hepatic or common bile ducts,
or incisional hernia, or post-cholecystectomy syn-
drome when symptoms are so severe as to inter-
fere with normal performance of duty.
b. Cholecystitis, acute or chronic, with or with-
out cholelithiasis, if diagnosis is confirmed by
usual laboratory procedures or authentic medical
records.
c. Cirrhosis regardless of the absence of mani-
festations such as jaundice, ascites or known esoph-
ageal varices, abnormal liver function tests with
or without history of chronic alcoholism.
d. Fistula in ano.
e. Gastritis, chronic hypertrophic, severe.
f. Hemorrhoids:
(1) External hemorrhoids producing marked
symptoms.
(2) Internal hemorrhoids, if large or accom-
panied with hemorrhage or protruding
intermittently or constantly.
g. Hepatitis within the preceding 6 months,
or persistence of symptoms after a reasonable
period of time with objective evidence of impair-
ment of liver function.
h. Hernia:
(1) Hernia other than small asymptomatic
umbilical or hiatal.
(2) History of operation for hernia within
the preceding 60 days.
i. Intestinal obstruction or, authenticated his-
tory of more than one episode, if either occurred
during the preceding 5 years, or if resulting con-
dition remains which produces significant symp-
toms or requires treatment.
*J. Megacolon of more than minimal degree,
divertioultis, regional enteritis, and ulcerative
colitis. Irritable colon of more than moderate
degree.
k. Pancreas, acute or chronic disease of, if
proven by laboratory tests, or authenticated med-
ical records.
1. Rectum, stricture or prolapse of.
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m Resection, gastric or of bowel; or gastro-
enterostomy; however minimal intestinal resection
in infancy or childhood (for example: for intus-
susci ption or pyloric stenosis) is acceptable if the
individual has been asymptomatic since the resec-
tion and if surgical consultation (to. include upper
and lower gastrointestinal series) gives complete
clearance.
n. 'Scars.
(1) Scars, abdominal, regardless of cause,
which show hernial bulging or which in-
terfere with movements.
('2) Scar pain associated with disturbance of
function of abdominal wall or contained
viscera.
o. Sinuses of the abdominal wall.
*p. Splenectomy, except when accomplished
for the following :
(1) Trauma.
(2) Causes unrelated to diseases of the
spleen.
(3) Hereditary spherocytosis.
(4) Disease involving the spleen when fol-
lowed by correction of the condition for
a period of at least 2 years.
q. Tumors. See paragraphs 2-40 and 2-41.
T. Ulcer:
(1) Ulcer of the stomach or duodenum, if
diagnosis is confirmed by X-ray exam-
ination, or authenticated history thereof.
(2) Authentic history of surgical opera-
tion(s) for gastric or duodenal ulcer.
s. Other congenital or acquired abnormalities
and defects which preclude satisfactory perform-
ance of military duty or which require frequent
and prolonged treatment.
Section III. BLOOD AND BLOOD-FORMING TISSUE DISEASES
2-4. ,Blood and Blood-Forming Tissue Dis-
eases
Thecauses for rejection for appointment, enlist-
ment, and induction are-
a. A! nemia:
(l) Blood loss anemia-until both condition
and basiccause are corrected.
(2,) Deficiency anemia, not controlled by med-
ication.
(3) Abnormal destruction of RBC's: He-
molytic anemia.
(4) Faulty RBC construction: Hereditary
hemolytic anemia, thallassemia and sickle
cellanemia.
(5) Myelophthisic anemia : Myelomatosis,
leukemia, Hodgkin's disease.
(6) Primary refractory anemia: Aplastic
anemia, DiGuglielmo's syndrome.
b. Hemorrhagic states:
(1) Due to changes in coagulation system
(hemophilia, etc.).
(2) Due to platelet deficiency.
(3) Due to vascular instability.
c. Leukopenia, chronic or recurrent, associated
with increased susceptibility to infection.
d. Myeloproliferative disease (other than leu-
kemia) :
(1) Myelofibrosis.
(2) Megakaryocytic myelosis.
(3) Polycythemia vera.
e. Splenomegaly until the cause is remedied.
f. Thromboembolic disease except for acute,
nonrecurrent conditions.
2-5. Dental
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Diseases of the jaws or associated tissues
which are not easily remediable and which will in-
capacitate the individual or prevent the satisfac-
tory performance of military duty.
b. Malocclusion, severe, which interferes with
the mastication of a normal diet.
c. Oral tissues, extensive loss of, in an amount
that would prevent replacement of missing teeth
with a satisfactory prosthetic appliance.
d. Orthodontic appliances. See special admin-
istrative criteria in paragraph 7-12.
e. Relationship between the mandible and max-
illa of such a nature as to preclude future satis-
factory prosthodontic replacement.
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Section V. EARS
2-6. Ears
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Auditory canal:
(1) Atresia or severe stenosis of the external
auditory canal.
(2) Tumors of the external auditory canal
except mild exostoses.
(3) Severe external otitis, acute or chronic.
b. Auricle: Agenesis, severe; or severe trau-
matic deformity, unilateral or bilateral.
e. Mastoids:
(1) Mastoiditis, acute or chronic.
(2) Residual or mastoid operation with
marked external deformity which pre-
cludes or interferes with the wearing of a
gas mask or helmet.
(3) Mastoid fistula.
d. Meniere's syndrome.
e. Middle ear:
(1) Acute or chronic suppurative otitis
media. Individuals with a recent history
of acute suppurative otitis media will not
be accepted unless the condition is healed
and a sufficient interval of time subse-
quent to treatment has elapsed to insure
that the disease is in fact not chronic.
(2) Adhesive otitis media associated with
hearing level by audiometric test of 20 db
or more average for the speech frequen-
cies (500, 1000, and"' 2000 cycles per
second) in either ear ? regardless of the
hearing level in the other ear.
AND HEARING
(3) Acute or chronic serous otitis media.
(4) Presence of attic perforation in which
presence of cholesteatoma is suspected.
(5) Repeated attacks of catarrhal otitis
media; intact greyish, thickened drum (s).
f . Tympanic membrane :
(1) Open marginal or central perforations of
the tympanic membrane.
(2) Severe scarring of the tympanic mem-
brane associated with hearing level by
audiometric test of 20 db or more average
for the speech frequencies (500, 1000, and
2000 cycles per second) in either ear re-
gardless of the hearing level in the other
ear.
g. Other diseases and defects of the ear which
obviously preclude satisfactory performance of
duty or which require frequent and prolonged
treatment.
2-7. Hearing
(See also par. 2-6.)
The cause for rejection for appointment, enlist-
ment, and induction is-
*Hearing acuity level by audiometric testing
(regardless of conversational or whispered voice
hearing acuity) greater than that described in
table I, appendix II. There is no objection to
conducting the whispered voice test or the spoken
voice test as a preliminary to conducting the
audiometric hearing test.
Section VI. ENDOCRINE AND METABOLIC DISORDERS
2-8. Endocrine and Metabolic Disorders
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Adiposogenital dystrophy. (Frohlich's syn-
drome) more than moderate in degree.
b. Adrenal gland, malfunction of, of any degree.
c. Cretinism.
d. Diabetes insipidius.
e. Diabetes mellitus.
f. Gigantism or acromegaly.
g. Glycosuria, persistent, regardless of cause.
h. Goiter:
(1) Simple goiter with definite pressure
symptoms or so large in size as to inter-
fere with the wearing of a military uni-
form or military equipment.
(2) Thyrotoxicosi&
i. Gout.
j. Hyperinsulinism, confirmed, symptomatic.
k. Hyperparathyroidism and hypoparathyroid-
ism.
1. Hypepituitarism, severe.
m. Myxedema, spontaneous or postoperative
(with clinical manifestations and not based solely
on low basal metabolic rate).
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2-?9
n. Nutritional deficiency diseases (including
sprue, beriberi, pellagra, and scurvy) which are
more than mild and not readily remediable or in
which permanent pathological changes have been
established.
o. Other endocrine or metabolic disorders which
obviously preclude satisfactory performance of
duty or which require frequent and prolonged
treatment.
Section VII. EXTREMITIES
2--9. Upper Extremities
('See par. 2-11.)
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Limitation of motion. An individual will be
considered unacceptable if the joint ranges of mo-
tion are less than the measurements listed below
(app. IV).
(1) Shoulder:
(a) Forward elevation to 90?.
(b) Abduction to 90?.
(2) Elbow:
(a) Flexion to 1000.
(b) Extension to 15?.
(3) Wrist: A total range of 15? (extension
plus flexion).
(4) Hand: Pronation to the first quarter of
the normal are.
Supination to the first quarter of the
normal are.
(5) Fingers: Inability to clench fist, pick up
a pin or needle, and grasp an object.
b. Hand and fingers:
(1) Absence (or loss) of more than 1/3 of the
distal phalanx of either thumb.
k(2) Absence (or loss) of distal and middle
phalanx of an index or ring finger of
either hand irrespective of the absence (or
loss) of little finger.
;k(2.1) Absence of more than the distal pha-
lanx of any two of the following fingers,
index, middle finger or ring finger, of
make the individual objectionable in ordi-
nary social relationships, or which impair
either hand.
Absence of hand or any portion thereof
except for fingers as noted above.
Hyperdactylia.
Scars and deformities of the fingers
and/or hand which impair circulation,
are symptomatic, are so disfiguring as to
normal function to such a degree as to in-
terfere with the satisfactory performance
of military duty.
c. Wrist, forearm, elbow, arm, and shoulder:
Healed disease or injury of wrist, elbow, or shoul-
der with residual weakness or symptoms of such a
degree as to preclude satisfactory performance of
duty.
2-10. Lower Extremities
(See par. 2-11.)
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Limitation of motion. An individual will be
considered unacceptable if the joint ranges of
motion are less than the measurements listed be-
low (app. IV).
(1) Hip:
(a) Flexion to 90?
(b) Extension to 10? (beyond 0).
(2) Knee:
(a) Full extension.
(b) Flexion to 90?
(3) Ankle:
(a) Dorsiflexion to 10?
(b) Plantar flexion to 10?
(4) Toes: Stiffness which interferes with
walking, marching, running, or jumping.
b. Foot and ankle:
(1) Absence of one or more small toes of one
or both feet, if function of the foot is
poor or running or jumping is precluded,
or absence of foot or any portion thereof
except for toes as noted herein.
(2) Absence (or loss) of great: toe(s) or loss
(3)
(4)
(5)
of dorsal flexion thereof if function of
the foot is impaired.
Claw toes precluding the wearing of
combat service boots.
Clubfoot.
Flat foot, pronounced cases, with decided
eversion of the foot and marked bulging
2-4
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(6)
(7)
(8)
(9)
of the inner border, due to inward rota-
tion of the astragalus, regardless of the
presence or absence of symptoms.
Flat foot, spastic.
Hallux valgus, if severe and associated
with marked exostosis or bunion.
Hammer toe which interferes with the
wearing of combat service boots.
Healed disease, injury or deformity in-
cluding hyperdactylia which precludes
running, is accompanied by disabling
pain, or which prohibits wearing of com-
bat service boots.
(10) Ingrowing toe nails, if severe, and not
remediable.
(11) Obliteration of the transverse arch as-
sociated with permanent flexion of the
small toes.
(12) Pes cavus, with contracted plantar fas-
cia, dorsiflexed toes, tenderness under the
metatarsal heads, and callosity under the
weight bearing areas.
o. Leg, knee, thigh, and hip:
(1) Dislocated semilunar cartilage loose or
foreign bodies within the knee joint or
history of surgical correction of same
if-
(b)
Within the preceding 6 months.
Six months or more have elapsed since
operation without recurrence, and
there is instability of the knee liga-
ments in lateral or anteroposterior di-
rections in comparison with the normal
knee or abnormalities noted on X-ray,
there is significant atrophy or weakness
of the thigh musculature in compari-
son with the normal side, there is not
acceptable active motion in flexion and
extension, or there are other symptoms
of internal derangement.
(2) Authentic history or physical findings of
an unstable or internally deranged joint
causing disabling pain or seriously limit-
ing function. Individuals with verified
episodes of buckling or locking of the
knee who have not undergone satisfac-
tory surgical correction or if, subsequent
to surgery, there is evidence of more than
mild instability of the knee ligaments in
lateral and anteroposterior directions in
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comparison with the normal knee, weak-
ness or atrophy of the thigh muscula-
ture in comparison with the normal side,
or if the individual requires medical
treatment of sufficient frequency to in-
terfere with the performance of military
duty.
d. General.
(1.) Deformities of one or both lower extrem-
ities which have interfered with function
to such a degree as to prevent the indi-
vidual from following a physically active
vocation in civilian life or which would
interfere with the satisfactory completion
of prescribed training and performance
of military duty.
(2) Diseases or deformities of the hip, knee,
(3)
or ankle joint which interfere with walk-
ing, running, or weight bearing.
Pain in the lower back or leg which is
intractable and disabling to the degree
of interfering with walking, running, and
weight bearing.
(4) Shortening of a lower extremity resulting
in any limp of noticeable degree.
2-11. Miscellaneous
(See also para. 2-9 and 2-10.)
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Arthritis:
(1) Active or subacute arthritis, including
Marie-Strumpell type.
(2) Chronic osteoarthritis or traumatic ar-
thritis of isolated joints of more than
minimal degree, which has interfered
with the following of a physically active
vocation in civilian life or which pre-
cludes the satisfactory performance of
military duty.
(3) Documented clinical history of rheuma-
toid arthritis (atrophic arthritis).
(4) Traumatic arthritis of a major joint of
more than minimal degree.
b. Disease of any bone or joint, healed, with
such resulting deformity or rigidity that function
is impaired to such a degree that it will interfere
with military service.
c. Dislocation, old unreduced; substantiated his-
tory of recurrent dislocations of major joints; in-
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stability of a major joint, symptomatic and more
than mild; or if, subsequent to surgery, there is
evidence of more than mild instability in compari-
son with the normal joint, weakness or atrophy in
comparison with the normal side, or if the indi-
vidual requires medical treatment of sufficient fre-
quency to interfere with the performance of mili-
tary duty.
d. Fractures:
(1) Malunited fractures that interfere signifi-
cantly with function.
(2) Ununited fractures.
(3) Any old or recent fracture in which a
plate, pin, or screws were used for fixa-
tion and left in place and which may be
subject to easy trauma, i.e., as a plate
tibia, etc.
e. Injury of a bone or joint within the preced-
Section VIII. EYES
2-12. Eyes
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Lids:
(1) Blepharitis, chronic more than mild.
Cases of acute blepharitis will be rejected
until cured.
(2) Blepharospasm.
(3) Dacryocystitis, acute or chronic.
(4) Destruction of the lids, complete or exten-
(5)
(6)
(7)
sive, sufficient to impair protection of the
eye from exposure.
Disfiguring cicatrices and adhesions of
the eyelids to each other or to the eyeball.
Growth or tumor of the eyelid other than
small early basal cell tumors of the eye-
lid, which can be cured by treatment, and
small nonprogressive asymptomatic be-
nign lesions. See also paragraphs 2-40
and 2-41.
Marked inversion or eversion of the eye-
lids sufficient to cause unsightly appear-
ance or watering of eyes (entropion or
ectropion).
(8) Lagophthalmos.
(9) Ptosis interfering with vision.
(10) Trichiasis, severe.
ing 6 weeks, without fracture or dislocation, of
more than a minor nature.
f. Muscular Paralysis, contracture, or atrophy,
if progressive or of sufficient degree to interfere
with military service.
*f.1. Myotonia congenita: Confirmed.
g. Osteornyelitis, active or recurrent, of any bone
or substantiated history of osteomyelitis of any
of the long bones unless successfully treated 2 or
more years previously without subsequent recur-
rence or disqualifying sequelae as demonstrated by
both clinical and X-ray evidence.
h. Osteoporosis.
i. Scars, extensive, deep, or adherent, of the skin
and soft tissues or neuromas of an extremity which
are painful, which interfere with muscular move-
ments, which preclude the wearing of military
equipment, or that show a tendency to break
down.
AND VISION
b. Conjunctiva:
(1) Conjunctivitis, chronic, including vernal
catarrh and trachoma. Individuals with
acute conjunctivitis are unacceptable un-
til the condition is cured.
(2) Pterygium:
(a) Pterygium recurring after three op-
erative procedures.
(b) Pterygium encroaching on the cornea
in excess of 3 millimeters or interfering
with vision.
e. Cornea:
(1) Dystrophy, corneal, of any type includ-
ing keratoconus of any degree.
(2) Keratitis, acute or chronic.
(3) Ulcer, corneal; history of recurrent ul-
cers or corneal abrasions (including
herpetic ulcers).
(4) Vascularization or opacification of the
cornea from any cause which interferes
with visual function or is progressive.
d. Uveal tract: Inflammation of the uveal tract
except healed traumatic choroiditis.
e. Retina:
(1) Angiomatoses, phakomatoses, retinal
cysts, and other congenito-hereditary
conditions that impair visual function.
AIN*
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*(2) Degenerations of the retina to include
macular cysts, holes, and other degenera-
(3)
(4)
tions (hereditary or acquired degenera-
tive changes) and o t h e r conditions
affecting the macula. All types of pig-
mentary degenerations (primary and
secondary).
Detachment of the retina or history of
surgery for same.
Inflammation of the retina (retinitis or
other inflammatory conditions of the
retina to include Coats' disease, diabetic
retinopathy, Eales' disease, and retinitis
proliferans).
f. Optic nerve.
(1) Congenito-hereditary conditions of the
optic nerve or any other central nervous
system pathology affecting the efficient
function of the optic nerve.
(2) Optic neuritis, neuroretinitis, or second-
ary optic atrophy resulting therefrom or
document history of attacks of retrobul-
bar neuritis.
(3) Optic atrophy (primary or secondary).
(4) Papilledema.
g. Lens.
(1) Aphakia (unilateral or bilateral).
(2) Dislocation, partial or complete, of a lens.
(3) Opacities of the lens which interfere
with vision or which are considered to
be progressive.
It. Ocular mobility and motility.
(1) Diplopia, documented, constant or inter-
mittent from any cause or of any degree
interfering with visual function (i.e., may
suppress).
(2) Diplopia, monocular, documented, inter-
fering with visual function.
(3) Nystab nus, with both eyes fixing, con-
genital or acquired.
7k (4) Strabismus of 40 prism diopters or more,
(5)
(6)
uncorrectable by lenses to less than 40
diopters.
Strabismus of any degree accompanied
by documented diplopia.
Strabismus, surgery for the correction of,
within the preceding 6 months.
i. Miscellaneous defects and diseases.
(1) Abnormal conditions of the eye or visual
fields due to diseases of the central nerv-
ous system.
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(2) Absence of an eye.
(3) Asthenopia severe.
(4) Exophthalmos, unilateral or bilateral.
(5) Glaucoma, primary or secondary.
(6) Hemianopsia of any type.
(7) Loss of normal pupillary reflex reactions
to light or accommodation to distance or
Adies syndrome.
(8) Loss of visual fields due to organic
disease.
(9) Night blindness associated with objective
disease of the eye. Verified congenital
night blindness.
(10) Residuals of old contusions, lacerations,
penetrations, etc., which impair visual
function required for satisfactory per-
formance of military duty.
(11) Retained intra-ocular foreign body.
(12) Tumors. See a(6) above and para-
graphs 2-40 and 2-41.
(13) Any organic disease of the eye or
adnexa not specified above which threat-
ens continuity of vision or impairment of
visual function.
2-13. Vision
The causes for medical rejection for appoint-
ment, enlistment, and induction are listed below.
The special administrative criteria for officer as-
signment to Armor, Artillery, Infantry, Corps
of Engineers, Signal Corps, and Military Police
Corps are listed in paragraph 7-15.
a. Distant visual acuity. Distant visual acuity
of any degree which does not correct to at least
one of the following :
(1) 20/40 in one eye and 20/70 in the other
eye.
(2) 20/30 in one eye and 20/100 in the other
eye.
(3) 20/20 in one eye and 20/400 in the other
eye.
b. Near visual acuity. Near visual acuity of
any degree which does not correct to at least J-6
in the better eye.
c. Refractive error. Any degree of refrac-
tive error in spherical equivalent of over -8.00 or
+8.00; or if ordinary spectacles cause discomfort
by reason of ghost images, prismatic displacement,
etc.; or if an ophthalmological consultation re-
veals a condition which is disqualifying.
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d. Contact lens. Complicated cases requiring
contact lens for adequate correction of vision as
keratoconus, corneal scars, and irregular astigma-
tism.
Section IX. GENITOURINARY SYSTEM
2-14. Genitalia
(See also para. 2-40 and 2-41.)
The causes for rejection for appointment, en-
listment, and induction are-
a. Bartholinitis, Bartholin's cyst.
b. Cervicitis, acute or chronic manifested by
leukorrhea.
c. Dysmenorrhea, incapacitating to a degree
which necessitates recurrent absences of more than
a few hours from routine activities.
d? Endometriosis, or confirmed history thereof.
e. Hermaphroditism.
f. Menopausal syndrome, either physiologic or
artificial if manifested by more than mild consti-
tutional or mental symptoms, or artificial meno-
pause if less than 13 months have elapsed since
cessation of menses. In all cases of artificial men-
opause, the clinical diagnosis will be reported; if
accomplished by surgery, the pathologic report
will. be obtained and recorded.
jlrg. Menstrual cycle, irregularities of, includ-
ing menorrhagia, if excessive; metrorrhagia; poly-
menorrhea; amenorrhea, except as noted in f
above.
h. New growths of the internal or external gen-
italia except single uterine fibroid, subserous,
asymptomatic, less than 3 centimeters in diameter,
with no general enlargement of the uterus. See
also paragraphs 2-40 and 2-41.
i. Oophoritis, acute or chronic.
j. Ovarian cysts, persistent and considered to be
of clinical significance.
k. Pregnancy.
1. Salpingitis, acute or chronic.
m. Testicle (s). (See also para. 2-40 and 2-
41.)
(1) Absence or nondescent of both testicles.
(2) Undiagnosed enlargement or mass of
testicle or epididymis.
(3) Undescended testicle which lies within
the inguinal canal.
r:. Urethritis, acute or chronic, other than gon-
orrheal urethritis,withouI complications.
a. Uterus.
(1) Cervical polyps, cervical ulcer, or
marked erosion.
(2) Endocervicitis, more than mild.
(3) Generalized enlargement of the uterus
due to any cause.
(4) Malposition of the uterus if more than
mildly symptomatic.
p. Vagina.
(1) Congenital abnormalities or severe lacer-
ations of the vagina.
(2) Vaginitis, acute or chronic, manifested
by leukorrhea.
q. Varicocele or hydrocele, if large or painful.
r. Vulva.
(1) Leukoplakia.
(2) Vulvitis, acute or chronic.
s. Major abnormalities and defects of the geni-
talia such as a change of sex, a history thereof, or
complications (adhesions, disfiguring scars, etc.)
residual to surgical correction of these conditions.
2-15. Urinary System
(See para. 2-8, 2-40, and 2-41.)
The causes for rejection for appointment, enlist-
ment, and induction are-
*a. Albuminuria if persistent or recurrent in-
cluding so-called orthostatic or functional albu-
minuria.
b. Cystitis, chronic. Individuals with acute
cystitis are unacceptable until the condition is
cured.
c. Enuresis determined to be a symptom of an
organic defect not amenable to treatment. (See
also para. 2-34c.)
d. Epispadias or hypospadias when accom-
panied by evidence of infection of the urinary
tract or if clothing is soiled when voiding.
e. Hematuria, cylindruria, or other findings in-
dicative of renal tract disease.
f. Incontinence of urine.
g. Kidney:
(1) Absence of one kidney, regardless of
cause.
(2) Acute or chronic infections of the kidney.
(3) Cystic or polycystic kidney, confirmed
history of.
(4) Hydronephrosis or pyonephrosis.
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 Approved For Release 2001/08/08 : CIA-RDP78-03581 R000200010120-3
10 September 1962 C 7, AR 40-501
2-16
(5) Nephritis, acute or chronic.
(6) Pyelitis, pyelonephritis.
h. Penis, amputation of, if the resulting stump
is insufficient to permit micturition in a normal
manner.
i. Peyronie's disease.
*j. Prostate gland, hypertrophy of, with uri-
nary retention.
k. Renal calculus:
(1) Substantiated history of bilateral renal
calculus at any time.
(2) Verified history of renal calculus at any
time with evidence of stone formation
within the preceding 12 months, current
symptoms or positive X-ray for calculus.
1. Skeneitis.
m. Urethra:
(1) Stricture of the urethra.
(2) Urethritis, acute or chronic, other than
gonorrheal urethritis without complica-
tions.
n. Urinary fistula.
o. Other diseases and defects of the urinary sys-
tem which obviously preclude satisfactory per-
formance of duty or which require frequent and
prolonged treatment.
2-16. Head
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Abnormalities which are apparently tempo-
rary in character resulting from recent injuries
until a period of 3 months has elapsed. These in-
clude severe contusions and other wounds of the
scalp and cerebral concussion. See paragraph
2-31.
b. Deformities of the skull in the nature of de-
pressions, exostoses, etc., of a degree which would
prevent the individual from wearing a gas mask
or military headgear.
c. Deformities of the skull of any degree asso-
ciated with evidence of disease of the brain, spinal
cord, or peripheral nerves.
d. Depressed fractures near central sulcus with
or without convulsive seizures.
e. Loss or congenital absence of the bony sub-
stance of the skull except that The Surgeon Gen-
eral may find individuals acceptable when-
(1) The area does not exceed 25 square centi-
meters and does not overlie the motor
cortex or a dural sinus.
(2) There is no evidence of alteration of
brain function in any of its several
spheres (intelligence, judgment, percep-
tion, behavior, motor control, sensory
function, etc.)
(3) There is no evidence of bone degenera-
tion, disease, or other complications of
such a defect.
f. Unsightly deformities, such as large birth-
marks, large hairy moles, extensive scars, and mu-
tilations due to injuries or surgical operations;
ulcerations; fistulae, atrophy, or paralysis of part
of the face or head.
2-17. Neck
The causes for rejection for appointment, en-
listment, and induction are-
a. Cervical ribs if symptomatic or so obvious
that they are found on routine physical examina-
tion. (Detection based primarily on X-ray is not
considered to meet this criterion.)
b. Congenital cysts of branchial cleft origin or
those developing from the remnants of the thy-
roglossal duct, with or without fistulous tracts.
c. Fistula., chronic draining, of any type.
d. Healed tuberculous lymph nodes when ex-
tensive in number or densely calcified.
e. Non-spastic contraction of the muscles of the
neck or cicatricial contracture of the neck to the
extent that it interferes with the wearing of a
uniform or military equipment or so disfiguring
as to make the individual objectionable in common
social relationships.
f. Spastic contraction of the muscles of the
neck, persistent, and chronic.
g. Tumor of thyroid or other structures of the
neck. See paragraphs 2-40 and 2-41.
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 C 7, AR 40-Aib7proved For Release 2001/08/08 : CIA-RDP78-03581R00020001Qp1?~0-3
2-18 TO eptember 1962
Section XI. HEART AND VASCULAR SYSTEM
2-18. Heart
The causes for rejection for appointment, enlist-
ment, and induction are-
a. All organic valvular diseases of the heart,
including those improved by surgical procedures.
b. Coronary artery disease or myocardial in-
farction, old or recent or true angina pectoris,
at ;,1y time.
c. Electrocardiographic evidence of major ar-
rhythmias such as-
(1) Atrial tachycardia, flutter, or fibrillation,
ventricular tachycardia or fibrillation.
*i(2) Conduction defects such as first degree
atrio-ventricular block and right bundle
branch block. (These conditions occur-
ring as isolated findings are not unfitting
when cardiac evaluation reveals no
cardiac disease.)
* (3) Left bundle branch block, 2d and 3d de-
gree AV block.
(4) Unequivocal electrocardiographic evi-
dence of old or recent myocardial infarc-
tion; coronary insufficiency at rest or
after stress; or evidence of heart muscle
disease.
d. Hypertrophy or dilatation of the heart as
evidenced by clinical examination or roentgeno-
graphic examination and supported by electro-
cardiographic examination. Care should be taken
to distinguish abnormal enlargement from in-
creased diastolic filling as seen in the well condi-
tioned subject with a sinus bradycardia. Cases
of enlarged heart by X-ray not supported by
electrocardiographic examination will be for-
warded to The Surgeon General for evaluation.
e. Myocardial insufficiency (congestive circula-
tory failure, cardiac decompensation) obvious or
covert, regardless of cause.
f. Paroxysmal tachycardia within the preced-
ing 5 years, or any time if recurrent or disabling
or if associated with electrocardiographic evi-
dence of accelerated A-V conduction (Wolff-
Parkinson-White).
g. Pericarditis; endocarditis; or myocardi.tis,
history or finding of, except, for a history of a
single acute idiopathic or coxsackie pericarditis
with no residuals.
h. Tachycardia, persistent with a resting pulse
rate of 100 or more, regardless of cause.
2-19. Vascular System
The causes for rejection for appointment, enlist-
ment, and induction are--
a. Congenital or acquired lesions of the aorta
and major vessels, such as syphilitic aortitis, dem-
onstrable atherosclerosis which interferes with cir-
culation, congenital or acquired dilatation of the
aorta (especially if associated with other features
of Marfan's syndrome), and pronounced dilata-
tion of the main pulmonary artery.
b. Hypertension evidenced by persistent blood
pressure readings of 150-mm or more systolic in
an individual over 35 years of age or persistent
readings of 140-mm or more systolic in an individ-
ual 35 years of age or less. Persistent diastolic
pressure over 90-mm diastolic is cause for rejec-
tion at any age.
e. Marked circulatory instability as indicated
by orthostatic hypotension, persistent tachycar-
dia, severe peripheral vasomotor disturbances and
sympatheticotonia.
d. Peripheral vascular disease including Ray-
naud's phenomena, Buerger's disease (thrombo-
angiitis obliterans), erythromelalgia, arteriosclero-
tic and diabetic vascular diseases. Special tests
will be employed in doubtful cases.
e. Thrombophlebitis:
(1) History of thrornbophlebitis with per-
sistent thrombus or evidence of circula-
tory obstruction or deep venous incom-
petence in the involved veins.
(2) Recurrent thrombophlebitis.
f. Varicose veins, if more than mild, or if asso-
ciated with edema, skin ulceration, or residual
scars from ulceration.
2-20. Miscellaneous
The causes for rejection for appointment, en-
listment, and induction are-
a. Aneurysm of the heart or major vessel, con-
genital or acquired.
b. History and evidence of a congenital abnor-
malUy which has been treated by surgery but
with residual abnormalities or complications, for
example: Patent ductus arteriosus with residual
cardiac enlargement, or pulmonary hypertension;
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 .a Approved For Release 2001/08/08 :CIA-RDP78-03581 R000200010120-3
29 August 1961
resection of a coarctation of the aorta without a
graft when there are other cardiac abnormalities
or complications; closure of a secundum type
atrial septal defect when there are residual ab-
normalities or complications.
c. Major congenital abnormalities and defects of
the heart and vessels unless satisfactorily corrected
C 3, AR 40-501
2-21
without residuals or complications. Uncompli-
cated dextrocardia and other minor asymptomatic
anomalies are acceptable.
d. Substantiated history of rheumatic fever or
chorea within the previous 2 years, recurrent at-
tacks of rheumatic fever or chorea at any time, or
with evidence of residual cardiac damage.
Section XII. HEIGHT, WEIGHT, AND BODY BUILD
2-21. Height
The causes for rejection for appointment, enlist-
ment, and induction are-
a. For appointment.
(1)
*(2)
Men. Regular Army-Height below 66
inches or over 78 inches. However, see
special administrative criteria in para-
graph 7-13.
Other-Height below 60 inches or over
78 inches.
Women. Height below 58 inches or over
72 inches.
b. For enlistment and induction.
(1) Men. Height below 60 inches or over 78
inches.
* (2) Women. Height below 58 inches or over
72 inches.
2-22. Weight
The causes for rejection for appointment, enlist-
ment,, and induction are-
a, Weight related to height which is below the
minimum shown in table I, appendix III for men
and table IT, appendix III for women.
*b. Weight related to age and height which is
in excess of the maximum shown in table I, ap-
pendix III for men and table IT, appendix III for
women. See chapter 7 for special requirements
pertaining to maximum weight standards appli-
cable to women enlisting for and commissioned
from Army Student Nurse and Army Student Die-
tician Programs.
2-23. Body Build
The causes for rejection for appointment, en-
listment, and induction are-
a. Congenital malformation of bones and joints.
(See pars. 2-9, 2-10, and 2-11.)
b. Deficient muscular development which would
interfere with the completion of required training.
c. Evidences of congenital asthenia (slender
bones ; weak thorax ; visceroptosis ; severe, chronic
constipation; or "drop heart" if marked in degree) .
d. Obesity. Even though the individual's
weight is within the maximum shown in table I or
IT, as appropriate, appendix III, he will be re-
ported as medically unacceptable when the medi-
cal examiner considers that the individual's weight
in relation to the bony structure and musculature,
constitutes obesity of such a degree as to interfere
with the satisfactory completion of prescribed
training.
Section XIII. LUNGS AND CHEST WALL
2-24. General
The following conditions are causes for rejec-
tion for appointment, enlistment, and induction
until further study indicates recovery without
disqualifying sequelae :
a. Abnormal elevation of the diaphragm on
either side.
b. Acute abscess of the lung.
c. Acute bronchitis until the condition is cured.
d. Acute fibrinous pleurisy, associated with
acute nontuberculous pulmonary infection.
e. Acute mycotic disease of the lung such as
coccidioidomycosis and histoplasmosis.
f. Acute nontuberculous pneumonia.
g. Foreign body in trachea or bronchus.
h. Foreign body of the chest wall causing symp-
toms.
i. Lobectomy, history of, for a nontuberculous,
nonmalignant lesion with residual pulmonary dis-
ease. Removal of more than one lobe is cause for
rejection regardless of the absence of residuals.
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 Approved For Release 2001/08/08 : CIA-RDP78-03581 R000200010120-3
C: 7, AR 40-501
2-25
j. Other traumatic lesions of the chest or its con-
tents.
k. Pneuwwthorax, regardless of etiology or his-
tory thereof.
1. Recent fracture of ribs, sternum, clavicle, or
scapula.
m. Significant abnormal findings on physical
examination of the chest.
2?-25. Tuberculous Lesions
(See also par. 2-38.)
The causes for rejection for appointment, en-
listment, and induction are-
a. Active tuberculosis in any form or location.
b. Pulmonary tuberculosis, active within the
past 5 years.
c. Substantiated history or X-ray findings of
pulmonary tuberculosis of more than minimal ex-
tent at any time; or minimal tuberculosis not
treated with a full year of approved chemotherapy
or combined chemotherapy and surgery ; or a his-
tory of pulmonary tuberculosis with reactivation,
relapse, or other evidence of poor host resistance.
2-26. Nontuberculous Lesions
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Acute mastitis, chronic cystic mastitis, if
more than mild.
b. Bronchial asthma, except for childhood
asthma with a trustworthy history of freedom
from symptoms since the 12th birthday.
10 September 1962
c. Bronchitis, chronic, with evidence of pul-
monary function disturbance.
d. Bronchiectasis.
e. Bronchopleural fistula.
f. Bullous or generalized pulmonary emphy-
sema.
g. Chronic abscess of lung.
h. Chronic fibrous pleuritis of sufficient extent
to interfere with pulmonary function or obscure
the lung field in the roentgenogram.
i. Chronic mycotic diseases of the lung includ-
ing coccidioidomycosis; residual cavitation or
more than a few small sized inactive and stable
residual nodules demonstrated to be due to mycotic
disease.
j. Empyema, residual sacculation or unhealed
sinuses of chest wall following operation for
empyema.
k. Extensive pulmonary fibrosis from any cause,
producing dyspnea on exertion.
1. Foreign body of the lung or mediastinum
causing symptoms or active inflammatory reaction.
m. Multiple cystic disease of the lung or soli-
tary cyst which is large and incapacitating.
n. New growth of breast; history of mastec-
tomy.
o. Osteomyelitis of rib, sternum, clavicle, scap-
ula, or vertebra.
p. Pleurisy with effusion of unknown origin
within the preceding 5 years.
*q. Sarcoidosis. See paragraph 2-38.
r. Suppurative periostitis of rib, sternum, clav-
icle, scapula, or vertebra.
Section XIV. MOUTH, NOSE, PHARYNX, TRACHEA, ESOPHAGUS, AND LARNYX
2-27. Mouth
The causes for rejection for appointment, en-
listment, and induction are-
a. Hard palate, perforation of.
b. Harelip, unless satisfactorily repaired by
surgery.
c. Leukoplakia, if severe.
d. Lips, unsightly mutilations of, from wounds,
burns, or disease.
e. Ranula, if extensive. For other tumors see
paragraphs 2-40 and 2-41.
2-28. Nose
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Allergic manifestations.
(1) Chronic atrophic rhinitis.
(2) Hay fever if severe; or if not, controllable
by antihistamines or by desensitization,
or both.
b. Choana, atresia, or stenosis of, if sympto-
matic.
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 Approved For Release 2001/08/08: CIA-RDP78-03581R00020001glih-4R 40-501
c. Nasal septum, perforation of :
(1) Associated with interference of function,
ulceration of crusting, and when the re-
sult of organic disease.
(2) If progressive.
(3) If respiration is accompanied by a whis-
tling sound.
d. Sinusitis, acute.
e. Sinusitis, chronic, when more than mild :
*(I) Evidenced by any of the following :
Chronic purulent nasal discharge, large
nasal polyps, hyperplastic changes of the
nasal tissues, or symptoms requiring fre-
quent medical attention.
(2) Confirmed by transillumination or X-ray
examination or both.
2-29. Pharynx, Trachea, Esophagus, and
Larynx
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Esophagus, organic disease of, such as ulcer-
ation, varices; achalasia; peptic esophagitis; if
confirmed by appropriate X-ray or esophagoscopic
examinations.
2-29
b. Laryngeal paraiysia, sensory or motor, due to
any cause.
c. Larynx, organic disease of, such as neoplasm,
polyps, granuloma, ulceration, and chronic laryn-
gitis.
d. Pliea dysphonia venrioularis.
e. Tracheostomy or tracheal fstula.
2-30. Other Defects and Diseases
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Aphonic.
b. Deformities or conditions of the mouth,
throat, pharynx, larynx, esophagus, and nose
which interfere with mastication and swallowing
of ordinary food, with speech, or with breathing.
C. Destructive syphilitic disease of the mouth,
nose, throat, larynx, or esophagus. (See para.
2-42.)
d. Pharyngitis and nasopluaryngitis, chronic,
with positive history and objective evidence, if of
such a degree as to result in excessive time lost in
the military environment.
Section XV. NEUROLOGICAL DISORDERS
Taco 1868A
2-31. Neurological Disorders
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Degenerative disorders :
(,1) Cerebellar and Friedreich's ataxia.
(2) Cerebral arteriosclerosis.
(3) Encephalomyelitis, residuals of, which
preclude the satisfactory performance of
military duty.
(4) Huntington's chorea.
(5) Multiple sclerosis.
(6) Muscular atrophies and dystrophies of
any type.
b. Miscellaneous:
(1) Congenital malformations if associated
with neurological manifestations and
meningocele even if uncomplicated.
(2) Migraine when frequent and incapacitat-
ing.
(3) Paralysis or weakness, deformity, dis-
coordination, pain, sensory disturbance,
intellectual deficit, disturbances of con-
sciousness, or personality abnormalities
regardless of cause which is of such a na-
ture or degree as to preclude the satisfac-
tory performance of military duty.
(4) Tremors, spasmodic torticollis, athetosis
or other abnormal movements more than
mild.
c. Neurosyphily of any form (general paresis,
tabes dorsalis, meningovascular syphilis) .
d. Paroxysmal convulsive disorders, disturb-
ances of consciousness, all forms of psychomotor
or temporal lobe epilepsy or history thereof except
for seizures associated with toxic states or fever
during childhood up to the age of 12.
e. Peripheral nerve disorder:
(1) Polyneuritis.
(2) Mononeuritis or neuraglia which is
chronic or recurrent and of an intensity
that is periodically incapacitating.
(3) Neurofibromatosis.
f. Spontaneous subarachnoid hemorrhage, veri-
fied history of, unless cause has been surgically
corrected.
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 C. 13, . AR A Med For Release 2001/08/08 : CIA-RDP78-03581 R000200010120-3
2-32
Section XVI. PSYCHOSES, PSYCHONEUROSES, AND PERSONALITY DISORDERS
2-32. Psychoses
The causes for rejection for appointment, en-
I istment, and induction are-
Psychosis or authenticated history of a psychotic
illness other than those of a brief duration as-
sociated with a toxic or infectious process.
2-33. Psychoneuroses
The causes for rejection for appointment, enlist-
raent, and induction are-
a. History of a psychoneurotic reaction which
c?aused-
(1) Hospitalization.
(2) Prolonged care by a physician.
(3) Loss of time from normal pursuits for
repeated periods even if of brief dura-
tion, or
(4) Symptoms or behavior of a repeated na-
ture which impaired school or work
efficiency.
b. History of a brief psychoneurotic reaction or
nervous disturbance within the preceding 12
months which was sufficiently severe to require
medical attention or absence from work or school
for a brief period (maximum of 7 days).
2-34. Personality Disorders
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Character and behavior disorders, as evi-
denced by-
(3)
(1) Frequent encounters with law enforce-
ment agencies, or antisocial attitudes or
behavior which, while not a cause for ad-
ministrative rejection, are tangible evi-
dence of an impaired characterological
capacity to adapt to the military service.
(2) Overt homosexuality or other forms of
sexual deviant practices such as exhibi-
tionism, transvestism, voyeurism, etc.
Chronic alcoholism or alcohol addiction.
(4) Drug addiction.
b. Character and behavior disorders where it is
evident by history and objective examination that
the degree of immaturity, instability, personality
inadequacy, and dependency will seriously inter-
fere with adjustment in the military service as
demonstrated by repeated inability to maintain
reasonable adjustment in school, with employers
and fellow-workers, and other society groups.
c. Other symptomatic immaturity reactions
such as authenticated evidence of enuresis which
is habitual or persistent, not due to an organic con-
dition (para. 2-15c) occurring beyond early ado-
lescence (age 12 to 14) and stammering or
stuttering of such a degree that the individual
is normally unable to express himself clearly or
to repeat commands.
*d. Specific learning defects as listed in AR
40-401.
Section XVII. SKIN AND CELLULAR TISSUES
2-35. Skin and Cellular Tissues
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Acne: Severe, when the face is markedly dis-
figured, or when extensive involvement of the
neck, shoulders, chest, or back would be aggra-
vated by or interfere with the wearing of military
equipment.
b. Atopie dermatitis: With active or residual
lesions in characteristic areas (face and neck, an-
tecubital and popliteal fossae, occasionally wrists
and hands), or documented history thereof.
e. Cysts:
(1) Cysts, other than pilonidal. Of such a
size or location as to interfere with the
normal wearing of military equipment.
(2) Cysts, plZonidal. Pilonidal cysts, if evi-
denced by the presence of a tumor mass
or a discharging sinus.
d. Dermatitis factitia.
e. Dermatitis herpetiformig.
f. Eczema: Any type which is chronic and re-
sistant to treatment.
/-1 Elephantiasis or chronic lymphedema.
g. Epidermolysi8 bullosa; pemphh7us.
h. Fungus infections, systemic or superficial
types : If extensive and not amenable to treatment.
i. Furuneulosis: Extensive, recurrent, or
chronic,
j. Hyperhidrosis of hands or feet: Chronic or
severe.
2-14
TAGO 1868A
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 17 May 1g634pproved For Release 2001/08/08 : CIA-RDP78-03581 R000200010f'2O AR 40-501
2-36
k. Ichthyosis: Severe.
1. Leprosy: Any type.
m. Leukemia autis; mycosis fungoide8; Hodg-
kins' disease.
n. Lichen planus.
o. Lupus erythematosus (acute, subacute, or
chronic) or any other dermatosis aggravated by
sunlight.
p. Neuroflbromato8i5 (Von Recklinghausen's
disease).
q. Nevi or vascular tumors:' If extensive, un-
sightly, or exposed to constant irritation.
r. Psoriasis or a verified history thereof.
8. Radiodermatitis.
t. Scars which are so extensive, deep, or adher-
ent that they may interfere with the wearing of
military equipment, or that show a tendency to
ulcerate.
u. Scleroderma: Diffuse type.
v. Tuberculosis. See paragraph 2-38.
w. Urticaria: Chronic.
x. Warts, plantar, which have materially inter-
fered with the following of a useful vocation in
civilian life.
y. Xanthoma: If disabling or accompanied by
hypercholesterolemia or hyperlipemia.
z. Any other chronic skin disorder of a degree
or nature which requires frequent outpatient treat-
ment or hospitalization, interferes with the satis-
factory performance of duty, or is so disfiguring
as to make the individual objectionable in ordinary
social relationships.
Section XVIII. SPINE, SCAPULAE, RIBS, AND SACROILIAC JOINTS
2-36. Spine and Sacroiliac Joints
(See also par. 2-11.)
The causes for rejection for appointment, en-
listment, and induction are-
a. Arthritis. See paragraph 2-11a.
b. Complaint of disease or injury of the spine or
sacroiliac joints either with or without objective
signs and symptoms which have prevented the in-
dividual from successfully following a physically
active vocation in civilian life. Substantiation or
documentation of the complaint without symp-
toms and objective signs is required.
c. Deviation or curvature of spine from normal
alignment, structure, or function (scoliosis,
kyphosis, or lordosis, spina bifida acculta, spon-
dylolysis, etc.), if-
(1) Mobility and weight-bearing power is
poor.
(2) More than moderate restriction of normal
physical activities is required.
(3) Of such a nature as to prevent the in-
dividual from following a physically ac-
tive vocation in civilian life.
(4) Of a degree which will interfere with the
wearing of a uniform or military equip-
(5)
ment.
Symptomatic, associated with positive
physical finding(s) demonstrable by
X-ray.
d. Diseases of the lumbosacral or sacroiliac
joints of a chronic type and obviously associated
with pain referred to the lower extremities, muscu-
lar spasm, postural deformities and limitation of
motion in the lumbar region of the spine.
e. Granulomatous diseases either active or
healed.
f. Healed fracture of the spine or pelvic bones
with associated symptoms which have prevented
the individual from following a physically active
vocation in civilian life or which preclude the sat-
isfactory performance of military duty.
g. Ruptured nucleus pulposus (herniation of in-
tervertebral disk) or history of operation for this
condition.
h. Spondylolisthesis.
2-37. Scapulae, Clavicles, and Ribs
(See also par. 2-11.)
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Fractures, until well healed, and until deter-
mined that the residuals thereof will not preclude
the satisfactory performance of military duty.
b. Injury within the preceding 6 weeks, without
fracture, or dislocation, of more than a minor
nature.
c. Osteomyelitis of rib, sternum, clavicle,
scapula, or vertebra.
d. Prominent scapulae interfering with func-
tion or with the wearing of uniform or military
equipment.
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 C 10, AR 40p3roved For Release 2001/08/08 : CIA-RDP78-03581R0002000101201r May 1963
2-38
Section XIX. SYSTEMIC DISEASES AND MISCELLANEOUS CONDITIONS AND EFFECTS
2-38. Systemic Diseases
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Dermatomyositis.
b. Lupus erythematosns; acute, subacute, or
chronic.
c. Progressive systemic sclerosis.
d. Reiter's Disease.
e. Sarcoidosis.
f. Scleroderma, diffuse type.
g. Tuberculosis:
(1) Active tuberculosis in any form or loca-
tion.
(2) Pulmonary tuberculosis. -See paragraph
2-25.
(3) Confirmed history of tuberculosis of a
bone or joint, genitourinary organs, intes-
tines, peritoneum or mesenteric. glands at
any time.
(4) Meningeal tuberculosis; disseminated
tuberculosis.
2-39. General and Miscellaneous Condi-
tions and Defects
The causes for rejection for appointment, enlist-
ment, and induction are-
a. Allergic manifestations:
(1) Allergic rhinitis (hay fever). See para-
graph 2-28.
(2) Asthma. See paragraph 2-26b.
(3) Allergic dermatoses. See paragraph
2-35.
(4) Visceral, abdominal, and cerebral allergy,
if severe or not responsive to treatment.
b. Any acute pathological condition, including
acute communicable diseases, until recovery has
occurred without sequelae.
c. Any deformity which is markedly unsightly
or w].iich impairs general functional ability to such
an extent as to prevent satisfactory performance
of military duty.
d. Chronic metallic poisoning especially beryl-
lium, manganese, and mercury. Undesirable re-
siduals from lead, arsenic, or silver poisoning
make the examinee medically unacceptable.
e. Cold injury, residuals of, (example: frost-
bite, chilblain, immersion foot, or trench foot)
such as deep seated ache, paresthesia, hyperhidro-
sis, easily traumatized skin, cyanosis, amputation
of any digit, or ankylosis.
* f. Positive tests for syphilis with negative
TPI test unless there is a documented history of
adequately-treated lues or any of the several con-
ditions which are known to give a false-positive
S.T.S. (vaccinia, infectious hepatitis, immuniza-
tions, atypical pneumonia., etc.) or unless there
has been a reversal to a negative S.T.S. during
an appropriate followup period (3 to 6 months).
g. Filariasis; t7ypanoosomiasis; ctnacbiasis; schis-
tosomiasis; uncinariasis (hookworm) associated
with anemia, malnutrition, etc., if more than mild,
and other similar worm or animal parasitic infes-
tations, including the carrier states thereof.
it. Heat pyrexia (heatstroke, sunstroke, etc.)
Documented evidence of predisposition (includes
disorders of sweat mechanism and previous serious
episode), recurrent episodes requiring medical at-
tention, or residual injury resulting therefrom
(especially cardiac, cerebral, hepatic, and renal).
i. Industrial solvent and other chemical intoxi-
cation, chronic including carbon bisulfide, tri-
chl.oroethylene, carbon tetrachloride, and methyl
cellosolve.
j. lllycotic infection of internal organs.
k. 1llyositis or fibrositis; severe, chronic.
1. Residuals of tropical fevers and various para-
sitic or protozoal infestations which in the opin-
ion of the medical examiner preclude the satis-
factory performance of military duty.
Section XX. TUMORS AND MALIGNANT DISEASES
2-40. Benign Tumors
The causes for rejection for appoi.ntmnent, en-
listment, and induction are-
a. Any tumor of the-
(1) Auditory canal, if obstructive.
(2) Eye or orbit (see also par. 2-12a(6) ).
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(3)
(4)
Kidney, bladder, testicle, or penis.
Central nervous system and its mem-
branous coverings unless 5 years after
surgery and no otherwise disqualifying
residuals of surgery or original lesion.
f. Breast, thoracic contents, or chest wall, tu-
mors, of, other than fibromata lipomata, and in-
clusion or sebaceous cysts which do not interfere
with military duty.
f. For tumors of the internal or external female
genitalia see paragraph 2-14k.
2-41. Malignant Diseases and Tumors
The causes for rejection for appointment, en-
listment, and induction are-
a. Leukemia, acute or chronic.
b. Malignant lympliomata.
c. Malignant tumor of any kind, at any time,
substantiated diagnosis of, even though surgically
removed, confirmed by accepted laboratory proce-
dures, except as noted in paragraph 2-12a (6).
b. Benign turners of the abdominal wall if suf-
ficiently large to interfere with military duty.
*c. Benign tumors of bone likely to continue
to enlarge, be subjected to trauma during military
service, or show malignant potential.
d. Benign tumors of the thyroid or other struc-
tures of the neck, including enlarged lymph
nodes, if the enlargement is of such degree as to
interfere with the wearing of a uniform or military
equipment.
e. Tongue, benign tumor of, if it interferes
with function.
2-42. Venereal Diseases
In general the finding of acute, uncomplicated
venereal disease which can be expected to respond
to treatment is not a cause for medical rejection
for military service. The causes for rejection for
appointment, enlistment, and induction are-
a. Chronic veneral disease which has not satis-
factorily responded to treatment. The finding of
a positive serologic test for syphilis following the
adequate treatment of syphilis is not in itself con-
sidered evidence of chronic venereal disease which
has not responded to treatment (par. 2-39f).
b. Complications and permanent residuals of
venereal disease if progressive, of such nature as
to interfere with the satisfactory performance of
duty, or if subject to aggravation by military serv=
ice.
c. Nexurosyphilis. See paragraph 2-31c.
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