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in
Form 596
AMERICAN RED CROSS
Sedas Rapids Aa.
(City and State in which examined)
its
april
1919
DIVISION.
Chil
M
Confidential Report of Medical Examiner
In the case of Christy I Christians
in
Address E.s Sedar Bagils, Aa.
S
Questions to be Answered by Examining Physician.
If
Note 1. Personnel in the foreign service of the American Red Cross often live and work in such trying incident climates, to amid loneliness such
pointment. expatriation, surroundings, It is that therefore only exposed men expected and to women that such malignant of sound constitution and vigorous a health should be recommended reliance circumstantial for will ap- be
insanitary diseases, and under such nervous strain
and
the Medical Examiner will make the examination thorough and
placed and by the American Red Cross. Every question should be answered as omissions will necessitate
that he will feel the responsibility of his office, bearing in mind that upon his statements great correspondence
Note 2. The examiner will please ask questions calculated to bring out the various symptoms pointing to the several the probability diseases
as to the reasons.
+
under each head, fully state any injurious effects of previous illness or injury and give an opinion as to
of its recurrence in the less favorable conditions under which the applicant is to work.
I. A. What is the applicant's age?
I. A
31
B. Have you had previous acquaintance with the
no
applicant? How long?
B. 2 1/2 yrs. no
J.
C. Have you treated him or her professionally?
C.
For what disease or injury?
D. Digorous
beold
resont
D. Does the general appearance indicate vigor-
ous, medium or delicate health?
E. State weight.
E 165
Height.
sift.give
Ericit
Figure.
F. Is there any deformity or malformation?
F no
G. What is the temperament, nervous or other-
G.
wise?
II. The Respiratory System.
A. Is the respiration full, easy and regular? State
II. A fee sixters
the number of respirations in a minute.
B. Is there any tendency to cough, expectoration
B no.
or difficulty in breathing?
C. Does the physical examination reveal anything
C No.
whatever abnormal in the condition of the
Bills
respiratory organs? If yes, explain fully
and state your opinion as to its significance.
di
J
2
2
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- photo
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "in\nForm 596\nAMERICAN RED CROSS\nSedas Rapids Aa.\n(City and State in which examined)\nits\napril\n1919\nDIVISION.\nChil\nM\nConfidential Report of Medical Examiner\nIn the case of Christy I Christians\nin\nAddress E.s Sedar Bagils, Aa.\nS\nQuestions to be Answered by Examining Physician.\nIf\nNote 1. Personnel in the foreign service of the American Red Cross often live and work in such trying incident climates, to amid loneliness such\npointment. expatriation, surroundings, It is that therefore only exposed men expected and to women that such malignant of sound constitution and vigorous a health should be recommended reliance circumstantial for will ap- be\ninsanitary diseases, and under such nervous strain\nand\nthe Medical Examiner will make the examination thorough and\nplaced and by the American Red Cross. Every question should be answered as omissions will necessitate\nthat he will feel the responsibility of his office, bearing in mind that upon his statements great correspondence\nNote 2. The examiner will please ask questions calculated to bring out the various symptoms pointing to the several the probability diseases\nas to the reasons.\n+\nunder each head, fully state any injurious effects of previous illness or injury and give an opinion as to\nof its recurrence in the less favorable conditions under which the applicant is to work.\nI. A. What is the applicant's age?\nI. A\n31\nB. Have you had previous acquaintance with the\nno\napplicant? How long?\nB. 2 1/2 yrs. no\nJ.\nC. Have you treated him or her professionally?\nC.\nFor what disease or injury?\nD. Digorous\nbeold\nresont\nD. Does the general appearance indicate vigor-\nous, medium or delicate health?\nE. State weight.\nE 165\nHeight.\nsift.give\nEricit\nFigure.\nF. Is there any deformity or malformation?\nF no\nG. What is the temperament, nervous or other-\nG.\nwise?\nII. The Respiratory System.\nA. Is the respiration full, easy and regular? State\nII. A fee sixters\nthe number of respirations in a minute.\nB. Is there any tendency to cough, expectoration\nB no.\nor difficulty in breathing?\nC. Does the physical examination reveal anything\nC No.\nwhatever abnormal in the condition of the\nBills\nrespiratory organs? If yes, explain fully\nand state your opinion as to its significance.\ndi\nJ\n2\n2"
}