STUDY OF THE ANATOMICOPATHOLOGIC LESIONS IN ONE 

 THOUSAND FILIPINO CHILDREN UNDER FIVE YEARS OF 

 AGEi 



By Maria Paz Mendoza-Guazon 



(From the Department of Pathology and Bacteriology, College of Medicine 

 and Surgery, University of the Philippines) 



The purpose of this work is to tabulate the anatomicopathologic 

 lesions of Filipino children under 5 years as found at autopsy, 

 for the purpose of comparison with the published results of 

 workers in other countries and to find the influence of age and 

 season on certain diseases. The majority of the cases came from 

 the Philippine General Hospital, some from San Lazaro Hospital 

 for communicable diseases, and a few from other sources. 



This record does not indicate the causes of infant mortality 

 in the city of Manila, yet it reflects them to a certain degree. 



The autopsies have been performed by the different members 

 of the pathological staff of the College of Medicine and Surgery, 

 University of the Philippines, and comprise those performed from 

 January, 1910, to March, 1916, a total of 1,000 cases, in a 

 period of a little over five years. 



STILLBIRTHS 



Of 52 cases of stillbirth, 5 gave unsatisfactory results from 

 the standpoint of causation, owing in part to the unsatisfactory 

 examination and in part to the insufficient knowledge of the 

 maternal condition. Fifteen were premature and 5 were mac- 

 erated foetuses. Of the remaining 32, in which anatomical in- 

 vestigation showed definite lesions which could account for the 

 stillbirth, the causes can be classified as follows : 



Asphyxia in utero, 4 cases ; knot in the cord, 1 ; fracture of 

 the skull, 4; multiple congenital anomalies, 2; cerebral hem- 

 orrhage, 2; intraperitoneal cyst with calcareous deposits and 

 chronic adhesive peritonitis, 1 ; cephalohematoma, 10 ; rupture 

 of the anterior intervertebral ligament, 3; hemorrhage into the 

 adrenals (forceps case) , subdural hemorrhage and atelectasis of 

 the lungs and hyperplasia of the thymus gland, which weighed 87 



^ Thesis presented for the degree of Doctor of Tropical Medicine, 1916. 

 Received for publication February, 1917. 



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