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

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REPORT OF PHYSICAL. EXAMINATI&
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rpose of this exam1pati~n ____•
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Date of exarmnation ----.&IL--~~5___ ·
Place of duty -·--DASD.,...fflit..~.....-.~ .~ ---------·------------------ -Pia~~ of examination _.: ______$1);_.~._- i ..C...--------------·
Name ..___m!ffli'IDSR,,__J)_o.lher:t..Q.lo.aent._..1T.Z283_____ Rank .._.._L.t ..._{Jg.)______________. Corps------~
---·---·-·--------·
(Surname first, Christian names In full)
Place of birth _ __ oz.e,eo.n..-..··-·-·--··--·-------·--------------·-·------·--··-·--···--·-··--
Date of birth _.J,~s~lJ.________________.-·--·----·---­
Family history ---lrr .elav.an.t..---.---·.---------·---·--·-----·-···___ ~ ~ .-·-····---...·-·-----·--·-·-..-------..---------------------------·-----·-----·
Hist~ry of illness or injury ____}JWJl~Ul#-__Infi1um~..,,_Jt~.§_EjJ ~ ~.l.- ~ ~~~~~--Qf__l~.!'!;__.QJ.,.~_yi_Q_~J___f!Q&l___~-~~..P-!A~,---·
Ap.pendectomy 1930.---··-------·--·---------·----------------·--·---·-----------·---·--·-----------------------------·-------------------------·--·-------·-­
----------------------·-----·-----·-·-·----·---·----·----------·---------·------·-------------------·-····------···-·-------··------·---------------------------··----·
Head and face - --~r.ma.l.·--·-·-·-·-·-····------···-·:-._·_--·-···-·------·--·-··------··---------·--···------·-··--------·-··---··---··-···---·---~----------------·
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Eyes: Pupils (size, shape, reaction to light and distance, etc.) _...aciund~_.equa4_.rea.0t...to_.L._&.._A______________ ____.._.__.
Distant vision Rt. ___lff_._____./20, corrected to -----~_9__ ..../20 by -·-···-Lenses__. _.....__,..._.___·_··--------------------·-··--·-­
Lt. __J ,a_._____./20, ·corrected to --·--~-Q.____/20 by _.._.J'.~~!!~~~----------··---------·---------------------·--·-··---·•
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Binocular.visic:m ____.!f!.~·-···----·--:--··---·------·---·--------
Color perception ____]J_Q.!:l!!.~l.-~~~-J9-i Q--------------·----------­
(W,thout lense!t-Recorded only when visual defects exist)
(State ed1llon of St,lling'a plates used)
Disease or anatomical defects ____..None.....-·--·---··-········-··-···-·····------·-----··---------·-------------------------·----···---------·--·­
Ears: Hearing Rt. Watch __.4Q__/ 40" Coin click _2O___.f20' Whispered voice _______l5~_..fl6'
Spoken voice ---···15.-··-·/16'
Lt. Watch __,40../40" Coin click _20..../20' Whispered voice -··--·_.l5____/ l6' Spoken voice -·----l 5...___.fl6'
Binaural _.:".'.:".'..../15'. Disease or defects ___ N o n e·--···--··-·-·-------·-··--··---·---··-··----·· --·---··----------------··-----·
(Spoken voice)
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Nose -----!lor.mal.----..__·-..·--·.----·_·-·-..._.·--.._·-....................._____..._....._·--·..______·--·--·-..·----··-·-------------.--.-·---.·-.·----·•----.­
(Disease or anatomical defect, obstruction, etc. State degree)
Sinuses _Normal.-------­--- -------------------------------- ----- -------·-------------------.---------------------------------------------------------------- - --­
Tongue, palate, pharynx, larynx, tonsils -·-----llormsJ..__·-···-------------------··-------------------------·---·---------------------··--····-····­
Teeth and gums (disease or anatomical defect) • ~--Normal _·-·-- ------------·-----------·--------· · ·--------------------------- --·-----------------·­
Missing teeth _..IfJll.,..J2.._____·-.......______·--.________·-----------­
Mark missing teeth by X whether re'lllaced or not. Show size and posi­
<List numbers)
tion of caries in black, use red to indicate fiOings and restorations,
Nonvital teeth ---·- No:.9.·--·--·--······---·-····-··-----------------­
(List numbers)
1
2
s
4
5
e
7
8
11
10 ti
IZ
13
14
15
16
Periapical disease -llone.----~·---··---<n-;~~;;;>-·--------··-------·---
!ii~· i@cij§@.~~·e.rt9_~~ijivi§
Marked malocclusion ____.ND--·----·---·------······--------·--·--·-·-
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(Yes or no)
Lack of serviceable occlusion -·-~ 9-----·--·--···------·-·-·----------­
<Yes or no)
~~~~
"~@i@.~@aeeee8§
Pyorrhea alveolaris ·-------·--·--·NQn,n;ir;~ ->-·-·-------------------
. . .
Teeth replaced by bridges----·N one·-········-······-·-··--------­
<List numbers)
24
2
:eets dental requirements ____°X~~----···(y·;;~-,_·;~)---··-----------
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3;.o::
3
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9
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31
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entures _
Jilone -------------·-··-·---·----------------------
·-----------------·---··--:!----------·---····-·--------------·----------------­
<Description>
(Signature of dental examiner)
General build and appearance -·-------------···-----·lle.di um._________________._____········-··---------.--·-----·--·------··------·· ---------------·--··--·­
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(State whether slender medium, or heavy, and postural abnormalities)
Temperature ------.98...6.------------------------
Chest at expiration __3 _9__·---·------·------··----------------·--·-·--------{-----------·-------·---·----
Height _______________73" _____ _.·----------·----
Chest at inspiration ..4'J..____________.·--·-----------------·-----------·--·------------------------·---·
Weight -----·--·----·J.,9~-·-·-·---------·---------·-
Circumference of abdomen at umbilicus ____..J~--------------------- , _________________________
Recent gai_n or loss, amount and. cause __•_____tl_Q.t:l~----------------------------------·----·--·-----------------·----------------------:-----·--------------­
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Skin, hair, and glands --·-.·-.-·---•••-·.--·-·-.·---·------...--·-·----___.___Normal__________._______·----.---------------------------------------------·------­
Neek (abnormalities, thr roid gland, trachea, larynx ) ___________NQf_~).___ __.________·---------- ------------------:--------!;----------------------­
Spine and extremities (bones, joints, muscles, feet) _______ _______N9X~1.__________________________________________________,__________..-----·-----­
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