The Philippine Journal of Science 



Heart.— A.C.D., normal; soft hsemic murmur over mitral vaive. 



Lungs.— Especially clear, in spite of family history. 



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, 2,680,000. 



Haemoglobin, 35 per cent. 



Polymorphonuclears, 69.5 per cent. 



Eosinophiles, 7 per cent. 



Lymphocytes, 23.5 per cent. 



Poikilocytosis, +. 



Anisocytosis, +. 

 Treatment with 9.3 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 



Ancylostoma duodenale: 



Males, 658. 

 Females, 616. 

 Macerated hookworms, 48. 



Sebastian Dayap, male, aged 20 years; residence, Inayawan, Pardo, 

 Cebu; occupation, laborer; weight, 34.6 kilograms. 



This patient had been previously treated for hookworm. He is ex- 

 tremely emaciated, with protuberant abdomen. 



Narcotics. — Alcohol in moderation. 



Family history.— Father dead, cause unknown; mother living; two bro- 

 thers and three sisters living. 



Personal history. — Smallpox in childhood. 



Special senses. — Normal. 



Skin and mucous membranes. — Conjunctivae and visible mucous mem- 

 branes, palms, and finger tips extremely anaemic; dusky pallor of face; 

 hookworm facies; marked oedema of lower extremities. 



Glandular system. — No palpable glands. 



Pulse. — 100; regular in rate and rhythm. 



Heart. — A.C.D., normal; short, soft haemic murmur. 



Lungs. — Antero-posterior diameter somewhat increased; entire chest 

 hyper-resonant; prolonged expiration; breath sounds normal. 



Genito-urinary system. — Normal. 



Abdomen. — No tenderness; no masses. 



Spleen and liver. — Not palpable. 



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



