The Philippine Journal of Science 



Ruperto Laputan, male, aged 68 years; residence, Carcar, Cebu; oc- 

 cupation, laborer; weight, 44.0 kilograms. 



Narcotics.— Alcohol moderately. iww liv 



Family history. -Three brothers dead, cause unknown; one brother liv- 

 ing; one sister died of burns; three sisters living. 



Personal history. -Fracture of left leg at 18 years; smallpox at 12 

 years; abscess of back at 17 years. . . ,,.. . 



Special senses.— Slight impairment of hearing, bilateral; decided impair- 

 ment of vision; marked arcus senilis. 



Skin and mucous membranes.— Conjunctivae very anaemic; mucous mem- 

 branes of mouth very pale; palms and finger tips very anaemic; the skin 

 is rough and wrinkled, and lies in loose folds, indicating former adiposity; 

 considerable oedema of the lower extremities. 



Glandular system. — Normal. 



Pulse. — 64; regular in rate and rhythm. 



Heart— A.C.D., normal; prolonged soft haemic murmur heard over entire 



A ' Lw—Entire chest is hyper-resonant excepting the right upper pos- 

 terior; impaired resonance at right upper posterior; many coarse and fine 

 crepitant rales; moist mucous rales? 

 Genito-urinary system. — Not examined. 

 Abdomen.— No tenderness; no masses. 

 Spleen. — Not palpable. 

 Liver. — Palpable at costal margin. 



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

 Blood findings: 



Total erythrocytes, 1,380,000. 

 Haemoglobin, 10 per cent. 

 Polymorphonuclears, 76.5 per cent. 



Lymphocytes, 23.5 per cent. 



Poikilocytosis, +. 



Anisocytosis, +. 



Nucleated red cells, 1. 

 Treatment with 8.0 cubic centimeters of carbon tetrachloride. 

 Worms were lost on screening. 



Constancia Mendoza, female, aged 10 years; residence, Cebu, Cebu; oc- 

 cupation, student; weight, 24.2 kilograms. 



This child was born in Carcar and lived there for eight years. 



Symptoms on admission.— Marked paleness, general weakness, dyspnoea 

 and fatigue on slight exertion. 



Narcotics. — None. 



Family history.— Father and mother living and well; three out of eight 

 children died of smallpox; others are living. 



Personal history.— The patient is the fifth child of the family; she had 

 measles and smallpox in early childhood; no other illnesses of importance; 

 the present illness began two years ago with gradually developing pallor 



