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

15-58 General and Miscellaneous Conditions and Defects

Department of the Navy
Bureau of Medicine and Surgery


(1) The causes for rejection are:
(a) Allergic manifestations (atopic diseases)
(1) Allergic rhinitis (hay fever).
(2) Reactive airway disease (asthma) (see article 15-41(1)(b)).
(3) Allergic dermatoses.
(4) Visceral, abdominal, and cerebral allergy, if severe a not responsive to treatment.
(5) Bona fide history of moderate or severe generalized (as opposed to local) allergic reaction to insect bites or stings. Bona fide history of severe generalized reaction to common foods, e.g., milk, eggs, beef, chicken, and pork.
(b) Any acute pathological condition, including acute communicable diseases, until recovery has occurred without sequelae.
(c) Any deformity which is markedly unsightly w which impairs general functional ability to such an extent as to prevent satisfactory performance of military duty.
(d) Chronic metallic poisoning especially beryllium, manganese, and mercury. Undesirable residuals from lead, arsenic, a silver poisoning make the examinee medically unacceptable.
(e) Cold injury. Residuals of frostbite, chilblain, immersion foot, or-trench foot, such as deepseated ache, paresthesia, hyperhidrosis, easily traumatized skin, cyanosis, amputation of any digit, or ankylosis.
(f) Filariasis; trypanosomiasis; amebiasis; schistosomiasis; uncinariasis (hookworm) associated with anemia, malnutrition, etc., it more than mild, and other similar worm or animal parasitic infestations, including the carrier states thereof.
(g) Heat pyrexia (heatstroke, sunstroke, etc.): Documented evidence of predisposition (includes disorders of sweat mechanism and previous serious episode), recurrent episodes requiring medical attention, or residual injury resulting therefrom (especially cardiac, cerebral, hepatic, and renal). Any history of malignant hyperthermia
(h) Industrial solvent and other chemical intoxication, chronic including carbon bisulfide, trichloroethylene, carbon tetrachloride, and methyl cellosolve.
(i) Mycotic infection of internal organs.
(j) Myositis or fibrositis; severe, chronic.
(k) Residuals of tropical fevers and various parasitic or protozoal infestations which in the opinion of the medical examiner preclude the satisfactory performance- of military duty.
(l) The presence of HIV (HTLV111) antigen or an] by approved confirmatory test.
(m) Motion sickness, severe or incapacitating.