Specifications include, but are not limited to: Physical examination: In accordance with TIG Attachment 3 – Head and general body appearance and form (especially for deformities that might affect respirator or eyewear or other PPE use); Ears, nose, throat, oral cavity, including teeth and gums; Eyes, including careful funduscopic exam (dilated and performed by optometry or ophthalmology if necessary) to assess vasculature; Neck, especially range of motion, thyroid; Heart, lungs, thorax; Abdomen, including checking for ventral and inguinal hernia; Skin, including scars; Extremities and back, especially range of motion and general strength; Balance, deep tendon reflexes, gait, coordination, including checking for tremor; Pulses at both wrists and both feet; Ability to communicate (hearing and speaking), including ability to articulate understandably; General behavior and affect, including evidence of inappropriate behavior, abnormal speech, hyperactivity, or lethargy. Audiogram: Hearing thresholds assessed in each ear at each of the following frequencies: 500 Hz, 1000 Hz, 2000 Hz, 3000 Hz, 4000 Hz, and 6000 Hz. Visual acuity and horizontal field of vision. Chest X-Ray: As a baseline only; posterior-anterior and lateral views. Spirometry: Measure forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and the absolute FEV1/FVC ratio. FEV1 and FVC results expressed as the absolute value and as a percent adjusted for gender, age, height, and ethnicity using NHANES III normative equations. Electrocardiograms (EKG): Resting 12-lead EKG...
