Manual of the Medical Department (NAVMED P-117): Chapter 15: Medical Examinations: Physical Standards

15-46 Endocrine and Metabolic Disorders

Department of the Navy
Bureau of Medicine and Surgery


(1 ) The cause for rejection are:
(a) Adrenal gland malfunction, of any degree.
(b) Cretinism.
(c) Diabetes insipidus.
(d) Diabetes mellitus.
(e) Gigantism or acromegaly.
(f) Glycosuria, persistent, regardless of cause.
(g) Thyroid disorders
(1) Simple goiter with definite pressure symptoms or so large in size as to interfere with the wearing of a military uniform or military equipment.
(2) Thyroid nodule.
(3) Hypothyroidism w thyrotoxicosis.
(4) Hypothyroidism.
(5) Thyroiditis.
(h) Gout.
(i) Hyperinsulinism, confirmed, symptomatic.
(j) Hyperparathyroidism and hypoparathyroidism
(k) Hypopituitarism.
(l) Myxedema, spontaneous or postoperative (with clinical manifestations and not based solely on thyroid func tion testing.)
(m) 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.
(n) Other endocrine a metabolic disorders which obviously preclude satisfactory performance of duly or which require frequent and prolonged treatment.