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D. Has the applicant ever suffered from any dis-
D.
ease or functional derangement of the re-
no
spiratory system ? If yes, state particulars.
E. What is the chest circumference?
E
35
Upon full inspiration?
Upon full expiration?
3/
III. The Circulatory System.
III. A
970
A. What is the temperature of the body ? (If
over 99° in the mouth, try another day.)
80
B. Give the rate and other qualities of the pulse.
B
Record blood-pressure.
110-74 (
C. Does it intermit, or become irregular or un-
C
equal?
no
no
D. Does physical examination reveal anything
D
whatever abnormal in the conditions of the
heart or blood vessels?
E. Has the applicant ever suffered from any dis-
E
ease of the circulatory system ? If yes, de-
scribe.
no
IV. The Nervous System.
IV.
Has there ever been or is there any disease or
functional derangement of the brain or other
parts of the nervous system ? If yes, state
no
particulars. Inquire particularly regarding
headaches, insomnia, nervous exhaustion,
chorea or epilepsy and insanity.
V. The Digestive System.
V.
Has the applicant any disease or functional de-
rangement?
A. Of the stomach ?
n
A
B. Of the intestines
M
B
C. Of the liver ?
n
C
D. Has there been or is there any tendency to
D
chronic constipation ?
E. To diarrhea?
E
n
Page data
- Page
- 63
- Source index
- 0
- Type
- photo
- Media ID
- 17a20a3f8ab44c6f
- Size
- unknown
Document data
- ID
- 2661786
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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"ocrText": "D. Has the applicant ever suffered from any dis-\nD.\nease or functional derangement of the re-\nno\nspiratory system ? If yes, state particulars.\nE. What is the chest circumference?\nE\n35\nUpon full inspiration?\nUpon full expiration?\n3/\nIII. The Circulatory System.\nIII. A\n970\nA. What is the temperature of the body ? (If\nover 99° in the mouth, try another day.)\n80\nB. Give the rate and other qualities of the pulse.\nB\nRecord blood-pressure.\n110-74 (\nC. Does it intermit, or become irregular or un-\nC\nequal?\nno\nno\nD. Does physical examination reveal anything\nD\nwhatever abnormal in the conditions of the\nheart or blood vessels?\nE. Has the applicant ever suffered from any dis-\nE\nease of the circulatory system ? If yes, de-\nscribe.\nno\nIV. The Nervous System.\nIV.\nHas there ever been or is there any disease or\nfunctional derangement of the brain or other\nparts of the nervous system ? If yes, state\nno\nparticulars. Inquire particularly regarding\nheadaches, insomnia, nervous exhaustion,\nchorea or epilepsy and insanity.\nV. The Digestive System.\nV.\nHas the applicant any disease or functional de-\nrangement?\nA. Of the stomach ?\nn\nA\nB. Of the intestines\nM\nB\nC. Of the liver ?\nn\nC\nD. Has there been or is there any tendency to\nD\nchronic constipation ?\nE. To diarrhea?\nE\nn"
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