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

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Standard Form 88
(Rev. Aug. 1950)

PROMULGATED BY
BUREAU OF THE BUDGET
CIRCULAR A-24

jmh

REPORT OF MEDICAL EXAMINATION

S-3

1. LAST NAME—FIRST NAME—MIDDLE NAME | 2. GRADE AND COMPONENT OR POSITION | 3. IDENTIFICATION NO.
NEWHOUSE, Delbert Clement | CHPHOTOGRAPHER | 177283/8311
4. HOME ADDRESS (Number, street or RFD, city or town, zone and State) | 5. PURPOSE OF EXAMINATION | 6. DATE OF EXAMINATION
3581 S.E. Grant Ct., Portland, Oregon | Promotion | 7-12-55
7. SEX | 8. RACE | 9. TOTAL YRS. GOVT. SERVICE | 10. DEPARTMENT, AGENCY, OR SERVICE | 11. ORGANIZATION UNIT
Male | Cauc | MILITARY 22-06 | CIVILIAN | USNAVY VU-5, USPACFLTAF, FPO, S.F., CALIF.
12. DATE OF BIRTH | 13. PLACE OF BIRTH | 14. NAME, RELATIONSHIP, AND ADDRESS OF NEXT OF KIN
5 Jun 13 | Marcola, Oregon | (W) Norma I. NEWHOUSE/Same as #4
15. EXAMINING FACILITY OR EXAMINER, AND ADDRESS | 16. OTHER INFORMATION
USNAS, NAVY 3835, FPO, S.F., CALIF. | Rel: P
17. RATING OR SPECIALTY | TIME IN THIS CAPACITY: TOTAL LAST SIX MONTHS
CLINICAL EVALUATION
(Check each item in appropriate column: enter "N. E." if not evaluated)
NORMAL | ABNORMAL | 18. HEAD, FACE, NECK, AND SCALP | #39. ANT: 3S½" Frontal; S½" Lt. Eyebrow; S½" Above Upper Lip; LSI" Rt. Thumb; OPS RLQ 3"; 5S Lt. Knee; S1" LU Tibia
X |  | 19. NOSE | POST: LSI½" Infrascapular, Lt.; S½" Lt. Thumb; LSI" Rt. Hand
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 59, 60, and 61) |
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) |
Females only | (Check how done) | (Continue in item 73)
 |  | 43. PELVIC | ☐ VAGINAL | ☐ RECTAL
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
I.—Nonrestorable teeth | XXX.—Replaced by dentures
RIGHT | X | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | LEFT
 | X | 32 | 31 | 30 | 29 | 28 | 27 | 26 | 25 | 24 | 23 | 22 | 21 | 20 | 19 | 18 | 17 | RIGHT
REMARKS AND ADDITIONAL DENTAL DEFECTS AND DISEASES
Type III Exam
Class I
QUALIFIED
LABORATORY FINDINGS |
45. URINALYSIS: SP. GR. 1.017 | 46. CHEST X-RAY (Place, date, film number, result) | 47. SEROLOGY (Specify test used and result)
ALBUMIN | SUGAR | MICROSCOPIC | USNAS, NAVY 3835 7-12-55
Neg. | Neg. | Negative | #1439: Negative
48. EKG | 49. BLOOD TYPE AND RH FACTOR | 47. SEROLOGY (Specify test used and result)
 | BT"B" | KAHN: Negative
50. OTHER TESTS

Finished File Pers B8118

16-62288-1