m Leach et al.: Hookworm Disease |] 



Lungs. — Sounds are normal. 



G e nit o- urinary system. — Normal. 



Abdomen. — No tenderness; no masses. 



Spleen. — Palpable at costal margin to the right of midclavicular line. 



Liver. — Not palpable. 



Nervous system, osseous system, muscles, and joints. — Normal. 



Blood findings: 



Total erythrocytes, 3,334,000. 



Haemoglobin, 15 per cent. 



Polymorphonuclears, 50 per cent. 



Eosinophiles, 3 per cent. 



Lymphocytes, 47 per cent. 



Poikilocytosis (marked), +. 



Anisocytosis (marked), +. 

 Treatment with 9.4 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 



Ancylostoma duodenale, male, 1. 



Necator americanus, females, 2. 



Juan Seno, male, aged 25 years; residence, Mandaue, Cebu; occupation, 

 laborer; weight, 49.5 kilograms. 

 Narcotics. — Alcohol in moderation. 

 Family history. — One brother dead, cause unknown; one sister dead, 



Personal history. — Smallpox in childhood; operation for hydrocele re- 



Special senses. — Normal. 



Skin and mucous membranes. — Visible mucous membranes extremely 

 anaemic; conjunctivas extremely anaemic; palms and finger tips very anaemic; 



Glandular system. — Inguinal glands palpable. 

 Pulse. — 78; regular in rate and rhythm. 

 Heart.— A.C.D., and sounds are normal. 



Lungs.— Impairment of resonance over right posterior lobe; breath 

 sounds prolonged; roughened expiration over areas of impaired l 



Genito-urinary system. — Normal. 



Abdomen. — No tenderness; no masses. 



Spleen and liver. — Not palpable. 



Nervous system, osseous system, muscles, and joints. — Normal. 



Blood findings: 



Total erythrocytes, 1,640,000. 



Haemoglobin, 55 per cent. 



Polymorphonuclears, 72.5 per cent. 



Eosinophiles, 0.5 per cent. 



Lymphocytes, 27 per cent. 



Poikilocytosis, +. 



Anisocytosis, +. 

 Treatment with 9.0 cubic centimeters of carbon tetrachloride. 



