Chapter 14 Flashcards
Physical Examinations
A Licensed Independent Practitioner, Physician Assistant, or Independent Duty Corpsman (IDC) may perform all physical examinations covered in this chapter unless otherwise indicated (i.e. an IDC may complete a physical examination but must have all documents co-signed by a licensed physician).
A General Medical Officer may independently perform examinations upon successfully completing an accredited internship.
a Physician’s Assistant may perform and record an aviation physical examination but must have the documents co-signed by a licensed aviation physician.
***there are four types of routine physical examinations. They are the Entrance, Periodic Health Assessment (PHA), Reenlistment, and Separation physicals
Entrance physical examination results are documented on the Report of Medical Examination (DD 2808) and Report of Medical History (DD 2807-1).
Separation examinations are required for personnel separating from the Navy, the Marine Corps, and Activated Reservists serving 31 consecutive days or greater on active duty. A thorough physical examination must be completed not less than 180 days from the last day served on active duty.
If there is not a unit medical officer, a medical officer assigned to a supporting clinic, hospital, or related operational unit should perform the examination.
OVERSEAS/OPERATIONAL SUITABILITY SCREENING EXAMINATIONS: All screening should be completed within 30 days of receipt of orders.
ABBREVIATED TEMPORARY LIMITED DUTY (TLD) MEDICAL BOARD AND REPORT: is used only when a member is expected to return to full duty after an adequate period of treatment. Processing time should not exceed 5 working days to report TLD
The form (NAVMED 6100/5), “Abbreviated Limited Duty Medical Board Report”
REPORT OF MEDICAL HISTORY, DD 2807-1 is used to complete Routine, Special Duty, and Medical Evaluation Boards examinations.
REPORT OF MEDICAL EXAMINATION, DD 2808
REPORT OF MEDICAL ASSESSMENT, DD 2697 is used to complete Separation examinations.
MEDICAL, DENTAL AND EDUCATIONAL SUITABILITY SCREENING FOR SERVICE AND FAMILY MEMBERS, NAVMED 1300/1 is used to complete the suitability screening for members that have orders for overseas and remote duty locations.
There are three accepted methods for testing visual acuity: Snellen chart, Jaeger cards, and Armed Forces Vision Tester(AFVT).
Snellen and Jaeger cards are used together.
Snellen Charts test distant visual acuity.
Jaeger cards are used to eval near vision acuity.
The AFVT checks both distant and near visual acuity.
Acuity testing is performed with and without glasses and results are documented in blocks 61 and 63 on the DD 2808
SNELLEN CHART: is the PREFERRED method for testing distant visual acuity, and can test both monocular and binocular visual acuity.
Hang Snellen Chart so the 20/20 line is 64 inches from the floor. Patient should stand 20 feet from chart.
JAEGER CARDS: It has six parag. on each card and labeled as J-1 (the smallest print size) through J-6
JAEGER CARDS: Hold cards at a distance of 14-16 inches from patient. Record the smallest type that was read comfortably in block 63 of the DD 2808 as near vision. Ex. J-2 at 14 inches.
***The Famsworth Lantern Test (FALANT) is the preferred and acceptable method for testing color vision by MANMED>
The two methods for testing color vision is FALANT and Pseudoisochromatic Plates (PIP).
FALANT evals color perception using two of three possible colors, red, green, or white shown in varying combinations.
FALANT Test: At a distance of 8 feet a patient must identify a total of nine different combinations to pass.
FALANT: A passing score is obtained by correctly identifying 9 out of 9 presentations on the first test series.
FALANT: If any are incorrect a second series of 18 presentation is administered. Passing score is correctly identifying 16, 17 or 18 presentations.
