The Bulletin 
47 
Blood Study. On May 18 a study was made of the blood to determine its 
normal condition. The following are the results: 
Numerical count: 
Erythrocytes . 13,760,000 
Leucocytes . 11.000 
Differential count: 
Neutrophiles . 19 per cent 
Lymphocytes, large . 5 per cent 
Lymphocytes, small . 72 per cent 
Eosinophiles . 4 per cent 
Hemaglobin . 77 per cent 
On August 3, after severe symptoms had developed, another study was 
made. The results are as follows: 
Numerical count: 
Erythrocytes . 15,520,000 
Leucocytes . 7,000 
Differential count: 
Neutrophiles .. 59 per cent 
Lymphocytes, large . 13 per cent 
Lymphocytes, small . 28 per cent 
Hemaglobin . 78 per cent 
There was an apparent increase in the erythrocytes and an increase in neu¬ 
trophiles at the expense of lymphocytes. There was a marked decrease in 
the total number of leucocytes. The decrease may have been in the lympho¬ 
cytes, in which case there would be an apparent increase in the neutrophiles 
over the lymphocytes. The eosinophiles have entirely disappeared. The 
hemaglobin remains the same. 
Urine Study. A study of the urine was made after severe symptoms of 
trembling had developed. The following is the result: 
Physical examination: 
Color—Light port wine. 
Specific gravity—1015. 
Chemical examination: 
Reaction—N eutral. 
Albumin—Present. 
Sugar—None. 
Carbonates—Present. 
Sulphates—Present. 
Phosphates—Present. 
Chlorides—Present. 
Hemaglobin—None. 
Microscopic examination: 
Granular tube casts—Present. 
Epithelia— 
Circular cells. 
Spindle cells. 
Squamous cells. 
Albuminuria is present and the color indicates that hemaglobin may be 
present; however, Heller’s test for the same was negative. She was normally 
