Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

Text

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Standard Form 88
(Rev. June 1956)

REPORT OF MEDICAL EXAMINATION

1. LAST NAME—FIRST NAME—MIDDLE NAME | 2. GRADE AND COMPONENT OR POSITION | 3. IDENTIFICATION NO.
NEWHOUSE, Delbert Clement | CHPHOT (W-4) USN | 177283
4. NAME, ADOPTED (If applicable) & CITY OR TOWN, ZONE AND STATE | PURPOSE OF EXAMINATION | 6. DATE OF EXAMINATION
P.O. Box 127 Garibald Organon | Pre Retirement
RELEASE TO
INACTIVE DUTY | 12-18-59
7. SEX | 8. RACE | 9. TOTAL YEARS GOVERNMENT SERVICE | 10. AGENCY | 11. ORGANIZATION-UNIT
MALE | CAUCASIAN | MILITARY (X) CIVILIAN | U.S. NAVY | US Navy, RECEIVING ST. SAN DIEGO, CALIF.
12. DATE OF BIRTH | 13. PLACE OF BIRTH | 14. NAME, RELATIONSHIP, AND ADDRESS OF NEXT OF KIN | 15. EXAMINING FACILITY OR EXAMINER, AND ADDRESS | 16. OTHER INFORMATION
5 June 1913 | Oregon | Norma I. NEWHOUSE(W) 652 Burham St. El Cajon, California | U.S. NAVAL STATION, SAN DIEGO, CALIF. | Religion: Protestant
17. RATING OR SPECIALTY | TIME IN THIS CAPACITY (Total) | LAST SIX MONTHS

CLINICAL EVALUATIONNOR-MAL | (Check each item in appropriate column; enter "NE" if not evaluated.) | ABNOR-MAL
X | 18. HEAD, FACE, NECK AND SCALP |
X | 19. NOSE |
X | 20. SINUSES |
X | 21. MOUTH AND THROAT |
X | 22. EARS—GENERAL (Int. & ext. canals) (Auditory acuity under items 70 and 71) |
X | 23. DRUMS (Perforation) |
X | 24. EYES—GENERAL (Visual acuity and refraction under items 69, 60 and 67) |
X | 25. OPHTHALMOSCOPIC |
X | 26. PUPILS (Equality and reaction) |
X | 27. OCULAR MOTILITY (Associated parallel movements, nystagmus) |
X | 28. LUNGS AND CHEST (Include breasts) |
X | 29. HEART (Thrust, size, rhythm, sounds) |
X | 30. VASCULAR SYSTEM (Varicosities, etc.) |
X | 31. ABDOMEN AND VISCERA (Include hernia) |
X | 32. ANUS AND RECTUM (Hemorrhoids, fistulae) (Prostate, if indicated) |
X | 33. ENDOCRINE SYSTEM |
X | 34. G-U SYSTEM |
X | 35. UPPER EXTREMITIES (Strength, range of motion) |
X | 36. FEET |
X | 37. LOWER EXTREMITIES (Except feet) (Strength, range of motion) |
X | 38. SPINE, OTHER MUSCULOSKELETAL |
X | 39. IDENTIFYING BODY MARKS, SCARS, TATTOOS |
X | 40. SKIN, LYMPHATICS |
X | 41. NEUROLOGIC (Equilibrium tests under item 72) |
X | 42. PSYCHIATRIC (Specify any personality deviation) |
X | 43. PELVIC (Females only) (Check how done) |
☐ | VAGINAL | ☐ | RECTAL

NOTES. (Describe every abnormality in detail. Enter pertinent item number before each comment. Continue in item 73 and use additional sheets if necessary.)

Ant. scar (3) 1/2" frontal, S 1/2" lt eyebrow, S 1/2" above upper lip LS 1/2" rt. thumb, OPS RLQ 3"

(Continue in item 73)

44. DENTAL (Place appropriate symbols above or below number of upper and lower teeth, respectively.) | o—Restorable teeth | X—Missing teeth | (6 X 8)—Fixed bridge, brackets to include abutments |
 | —Nonrestorable teeth | XXX—Replaced by dentures |  |
RIGHT | X |  |  |
 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | LEFT
 | X | 21 | 30 | 29 | 28 | 27 | 26 | 25 | 24 | 23 | 22 | 21 | (20 | 19 | 18 | 17 | 16 | RIGHT

REMARKS AND ADDITIONAL DENTAL DEFECTS AND DISEASES

CLASS 1

LABORATORY FINDINGS45. URINALYSIS: A. SPECIFIC GRAVITY | NORMAL | 46. CHEST X-RAY (Place, date, film number and result) | U.S. NAVAL STATION, SDLEGO, CALIF.
70MM CHEST FILM. NO. 38367 NEG.
B. ALBUMIN | NEGATIVE | D. MICROSCOPIC |
C. SUGAR | NEGATIVE | 47. SEROLOGY (Specify test used and result) | PRESUMPTIVE KAHN
NEGATIVE
48. EKG | NOT DONE | 49. BLOOD TYPE AND RH FACTOR | NOT DONE
49. OTHER TESTS | NONE | EKG NORMAL 12-18-59 |

Finished File B52

APPROVED SECNAV 19 FEB 1960