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

15-56 Blood and Blood Forming Tissue Diseases

Department of the Navy
Bureau of Medicine and Surgery


(1) The causes for rejection are:
(a) Anemia:
(1) Blood loss anemia until both anemia and cause are corrected.
(2) Deficiency anemia, not controlled by medica
(3) Abnormal destruction of RBC'S: Hemolytic ane
(4) Faulty RBC morphology Hereditary hemolytic anemia, thalassemia, and sickle cell anemia.
(5) Sickle cell trait if HbS is greater than HbA
electrophoresis determination.
(6) Myelophthisic anemia: Myelomatosis, leukemia, Hodgkin's disease.
(7) Primary refractory anemia: Aplastic anemia, DI Guglielmo's syndrome.
(b) Hemorrhagic states:
(1) Due to changes in coagulation system (hemophilia, etc.).
(2) Due to vascular instability.
(3) Due to quantitative a qualitative platelet deficiency:
(c) Leukopenia, chronic or recurrent associated with increased susceptibility to infection.
(d) Myeloproliferative disease (other than leukemia):
(1) Myelofibrosis.
(2) Megacaryocytic myelosis.
(3) Polycythemia vera.
(e) Splenomegaly until the cause is remedied.
(f) Thromboembolic disease except for acute, nonre current conditions.
(g) Immunodeficiency diseases.