The Philippine Journal of Science 



Worms recovered ( 

 Ancylostoma i 



Males, 54. 

 Females, 45. 

 Ascaris (immature), 2. 



Pelagia Laputan, female, aged 50 years; 

 cupation, housewife; weight, 36.8 kilograms. 



Patient is extremely emaciated. There is considerable swelling over the 

 malar region. 



Narcotics. — Tobacco and alcohol in moderation. 



Family history.— Father and mother dead, cause unknown; three bro- 

 thers dead: one murdered, one of infection of the foot, one cause unknown; 

 two sisters dead, one burned, one of "fever." 



Personal history. — Smallpox in infancy. 



Special senses.— Considerable impairment of hearing, bilateral; slight 

 impairment of sight. 



Skin and mucous membranes. — Visible mucous membranes show con- 

 siderable anaemia; conjunctivae very anaemic; skin glossy and considerably 

 stretched over upper and lower extremities, hands, and feet as a result 



Glandular system. — No palpable glands. 

 Pulse.— 68; regular in rate and rhythm. 

 Heart.— A.C.D., normal; slight haemic murmur. 



Lungs. — Considerable impairment of resonance in right upper lobe, 

 posterior; many fine, crepitant rales, right upper anterior; left chest, 

 anterior and posterior, shows hyper-resonance; emphysema; tuberculosis 

 of right upper lobe. 



Abdomen. — Lower half protuberant; no tenderness; no masses. 

 Spleen and liver.— Not palpable. 



Nervous system, osseous system, muscles, and joints. — Not examined. 

 Blood findings: 



Total erythrocytes, 2,160,000. 



Haemoglobin, 10 per cent. 



Polymorphonuclears, 86 per cent. 



Eosinophiles, none. 



Lymphocytes, 14 per cent. 



Poikilocytosis, -{-. 



Anisocytosis, +. 

 Treatment with 6.7 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 



Ancylostoma duodenale: 

 Males, 13. 



ated hookworms, 13. 



