136 



The Philippine Journal of Science 



1917 



which had an eosinophilic count more than normal, and this 

 showed in the stools the eggs of Trichocephalus dispar, Ascaris 

 lumbricoides, and Ankylostoma. Table VI shows the mono- 

 nuclear leucocytosis : 



Table VI. — Mononuclear leucocytosis in liver abscess among Filipinos. 



Per cent. 



Cases re- 

 covered. 



Fatal 

 cases. 



Total. 



0-1.. 



13 

 3 

 1 

 



1 

 4 



22 



8 

 2 

 2 

 

 

 4 



16 



21 

 5 

 3 





 1 



8 



38 



2-5.— .- ... 



ft-10 



11-15 1. 



16-20 



(•)-— 



Total-. 





' Count not made. 



PHYSICAL SIGNS 



The majority of our cases were cachectic, but some of them 

 looked perfectly healthy and well nourished. Marked jaundice 

 was never observed, but a slight yellowish tinge in the con- 

 junctiva was noticed in eighteen cases. Those cases too sick 

 to be about generally lay in bed on the right side with the lower 

 limbs drawn up. 



In two of our cases ascites was present, and three had oedema 

 of the legs without nephritis. Two cases presented symptons of 

 hemorrhoids, and in one case the superficial veins of the anterior 

 abdominal wall were enlarged. 



Respiration was proportionate to the fever, if any was present. 

 In those cases with marked pain in the hepatic region, the re- 

 spiratory movements were limited to the thorax. Auscultation 

 revealed rales or pleuritic rub at the base of the right lung in 

 four cases. 



The hepatic dullness varied greatly. In our cases in which 

 abscess was located in the upper segment it reached as high 

 as the fourth rib in the midclavicular line; the lower border 

 was not changed at all in some cases. In abscess of the lower 

 segment of the right lobe the liver becomes prominent in the 

 right hypochondrium. In 27 of our cases there was a definite 

 tumor palpable below the right costal arch. In 2 cases fluc- 

 tuation was distinct. Tenderness was on the whole very slight 

 except in those cases with mixed infection, and if a moderate 

 or marked degree of abdominal rigidity is present, it is localized 

 in the upper segment of the right rectus. 



