Podcast
Questions and Answers
What could cause stool to appear red?
What could cause stool to appear red?
- Eating cranberries or beets (correct)
- Irritable bowel syndrome
- Presence of bile
- Consuming leafy vegetables
What is the significance of having a stool color that is white or clay-colored?
What is the significance of having a stool color that is white or clay-colored?
- Normal and indicates healthy bile production
- Indicates the presence of parasites only
- Typically associated with high-fat diets
- This color indicates a lack of bile and possible obstruction (correct)
What is the specific gravity requirement for the zinc sulfate flotation technique?
What is the specific gravity requirement for the zinc sulfate flotation technique?
- 1.18 (correct)
- 1.25
- 1.00
- 0.95
What is a potential disadvantage of the zinc sulfate flotation technique?
What is a potential disadvantage of the zinc sulfate flotation technique?
Which of the following stool colors indicates a potential issue in the upper gastrointestinal tract?
Which of the following stool colors indicates a potential issue in the upper gastrointestinal tract?
What specimen is primarily used for the recovery of S. haematobium eggs?
What specimen is primarily used for the recovery of S. haematobium eggs?
Which specimen is utilized for diagnosing Acanthamoeba keratitis?
Which specimen is utilized for diagnosing Acanthamoeba keratitis?
Which laboratory technique is used to examine urethral and vaginal discharge specimens for T. vaginalis?
Which laboratory technique is used to examine urethral and vaginal discharge specimens for T. vaginalis?
What type of specimen is occasionally used to detect Naegleria fowleri?
What type of specimen is occasionally used to detect Naegleria fowleri?
What is the purpose of evaluating cerebrospinal fluid (CSF)?
What is the purpose of evaluating cerebrospinal fluid (CSF)?
Which of the following specimens is NOT mentioned as useful for the diagnosis of parasitic infections?
Which of the following specimens is NOT mentioned as useful for the diagnosis of parasitic infections?
Which type of agar is specifically used for culturing non-nutrient organisms?
Which type of agar is specifically used for culturing non-nutrient organisms?
What does protoscopic aspirates and scrapings help confirm?
What does protoscopic aspirates and scrapings help confirm?
What is the first step in the direct fecal smear procedure using normal saline solution?
What is the first step in the direct fecal smear procedure using normal saline solution?
What is the main reason why stool samples are preferred for diagnosing parasite infections?
What is the main reason why stool samples are preferred for diagnosing parasite infections?
Which iodine solution is used in the modified D’ Antoni’s method?
Which iodine solution is used in the modified D’ Antoni’s method?
Which type of contamination is acceptable for a stool sample submission?
Which type of contamination is acceptable for a stool sample submission?
When conducting a fecal smear, why is it important for the smear to be thin enough?
When conducting a fecal smear, why is it important for the smear to be thin enough?
What should be examined for in the entire preparation of a fecal smear?
What should be examined for in the entire preparation of a fecal smear?
Which of the following is a sign that a patient may have a parasitic infection?
Which of the following is a sign that a patient may have a parasitic infection?
What role does iodine play in D’ Antoni’s Method?
What role does iodine play in D’ Antoni’s Method?
How much potassium iodide is needed to create Lugol’s solution?
How much potassium iodide is needed to create Lugol’s solution?
What should be done if a stool sample is submitted and it is unlabeled?
What should be done if a stool sample is submitted and it is unlabeled?
What is the appropriate amount of distilled water to be mixed with powdered iodine crystals in the modified D’ Antoni’s iodine preparation?
What is the appropriate amount of distilled water to be mixed with powdered iodine crystals in the modified D’ Antoni’s iodine preparation?
Which preservation method is unsuitable for amoebic trophozoites?
Which preservation method is unsuitable for amoebic trophozoites?
Which of the following statements about trophozoites is true?
Which of the following statements about trophozoites is true?
What is the suggested frequency for checking the sample after covering it half-closed with canal water?
What is the suggested frequency for checking the sample after covering it half-closed with canal water?
What is the preferred iodine solution for D’ Antoni’s Method?
What is the preferred iodine solution for D’ Antoni’s Method?
What is essential for the ideal stool sample to effectively recover parasites?
What is essential for the ideal stool sample to effectively recover parasites?
In the iodine staining procedure, what should be done after emulsifying the fecal material?
In the iodine staining procedure, what should be done after emulsifying the fecal material?
What does the term 'reject sample if contaminated' generally mean?
What does the term 'reject sample if contaminated' generally mean?
How should a wet mount film be prepared?
How should a wet mount film be prepared?
Why should organisms be examined in an unstained condition first?
Why should organisms be examined in an unstained condition first?
Why might a patient visiting a developing country be at risk for a parasitic infection?
Why might a patient visiting a developing country be at risk for a parasitic infection?
What effect does iodine have on the coloration of organisms?
What effect does iodine have on the coloration of organisms?
What potential issue arises with the use of water in wet mount preparations?
What potential issue arises with the use of water in wet mount preparations?
What is the primary purpose of a wet mount?
What is the primary purpose of a wet mount?
Which type of diagnosis is established by actively observing the presence of a parasite in a specimen?
Which type of diagnosis is established by actively observing the presence of a parasite in a specimen?
What is considered a proper method of transmission for parasites?
What is considered a proper method of transmission for parasites?
Which type of parasite is categorized as a nematode?
Which type of parasite is categorized as a nematode?
Which specimen type is commonly used for diagnosing parasitic infections?
Which specimen type is commonly used for diagnosing parasitic infections?
Which stage of a parasite is identified as the stage that has morphological forms capable of causing infection?
Which stage of a parasite is identified as the stage that has morphological forms capable of causing infection?
What role do antibodies play in the immune response to parasitic infections?
What role do antibodies play in the immune response to parasitic infections?
Which factor is NOT crucial in performing an accurate diagnosis of parasitic infections?
Which factor is NOT crucial in performing an accurate diagnosis of parasitic infections?
Which of the following is an incorrect mode of transmission for parasites?
Which of the following is an incorrect mode of transmission for parasites?
What is the primary purpose of a presumptive diagnosis?
What is the primary purpose of a presumptive diagnosis?
Which of the following groups includes organisms that are NOT parasitic?
Which of the following groups includes organisms that are NOT parasitic?
Flashcards
Stool Specimen
Stool Specimen
A sample of feces or poop, usually collected for the diagnosis of parasitic infections.
Zinc Sulfate Flotation Technique
Zinc Sulfate Flotation Technique
A technique used to detect parasite eggs, cysts, and larvae in stool samples by exploiting their lower specific gravity compared to the zinc sulfate solution. The parasites float to the surface, making them easier to identify under a microscope.
Gastrointestinal Tract
Gastrointestinal Tract
The area of the body responsible for digesting food and absorbing nutrients, where parasites often reside.
Specific Gravity of Zinc Sulfate Solution
Specific Gravity of Zinc Sulfate Solution
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Specific gravity of parasite eggs/cysts and larva
Specific gravity of parasite eggs/cysts and larva
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Protozoa
Protozoa
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Advantages of Zinc Sulfate Flotation Technique
Advantages of Zinc Sulfate Flotation Technique
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Cyst
Cyst
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Urine
Urine
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Limitations of Zinc Sulfate Flotation Technique
Limitations of Zinc Sulfate Flotation Technique
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Concentration Procedure
Concentration Procedure
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Preservation Solution
Preservation Solution
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Parasitic Infection
Parasitic Infection
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Corneal Scrapings
Corneal Scrapings
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Urine Specimen
Urine Specimen
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Urethral and Vaginal Discharge Specimens
Urethral and Vaginal Discharge Specimens
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Sputum Specimen
Sputum Specimen
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Aspirates
Aspirates
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Non-nutrient Agar Plates (Culbertson's Medium)
Non-nutrient Agar Plates (Culbertson's Medium)
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Calcofluor White Stain
Calcofluor White Stain
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Cerebrospinal Fluid (CSF)
Cerebrospinal Fluid (CSF)
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Parasites
Parasites
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Parasitic infestation
Parasitic infestation
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Life cycle
Life cycle
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Infective stage
Infective stage
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Diagnostic stage
Diagnostic stage
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Arthropods
Arthropods
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Helminthes
Helminthes
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Tissue & blood dwelling nematodes
Tissue & blood dwelling nematodes
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Direct Fecal Smear (Through NSS) Procedure
Direct Fecal Smear (Through NSS) Procedure
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Iodine Stain (D'Antoni's Method)
Iodine Stain (D'Antoni's Method)
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Iodine Smear
Iodine Smear
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Trophozoite
Trophozoite
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Lugol's Solution
Lugol's Solution
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Sedimentation Method
Sedimentation Method
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Fecal Sample Collection
Fecal Sample Collection
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Applicator Stick
Applicator Stick
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D’ Antoni’s Method
D’ Antoni’s Method
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Direct Wet Mount
Direct Wet Mount
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Iodine Staining
Iodine Staining
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Gram’s iodine
Gram’s iodine
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D' Antoni's Iodine Solution
D' Antoni's Iodine Solution
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Study Notes
Parasite Examination
- Parasites are organisms living on or in a host organism, obtaining nourishment from it.
- Parasitic infection is the state of being infected by parasites.
- Parasitic infestation is the state of being invaded by parasites, often superficially.
- Modes of transmission include oral-fecal, blood contact, sexual intercourse, and vector-borne mechanisms.
- Common parasites are categorized into protozoa (e.g., amoeba, ciliates, sporozoa, flagellates), arthropods (e.g., ticks, mites), and helminthes (e.g., nematodes, cestodes, trematodes).
- Laboratory diagnosis aids clinicians in determining the presence of parasites, guiding treatment choices, and monitoring treatment efficacy.
- Factors affecting accurate diagnosis include proper specimen collection, handling, and laboratory examiner skills, as well as the quality of equipment.
- Common specimens for parasitic infection examination include stool, blood, urine, and genital specimens, corneal scrapings, sputum, tissue biopsies or aspirates.
Types of Diagnosis
- Clinical diagnosis is usually made by doctors or nurses, identifying signs (observable symptoms) and symptoms (subjective experiences).
- Laboratory diagnosis is performed by medical technicians, employing tests to confirm the presence of parasites.
Factors Affecting Accurate Diagnosis
- Proper specimen collection and handling are crucial.
- Laboratory examiner skills and quality of equipment influence results.
- Proper handling and processing of collected specimens are essential.
Specimen Types for Parasitic Infection
- Stool: Commonly examined for intestinal parasite ova, cysts, and adult forms.
- Blood: Useful for identifying filarial worms, trypanosomes, leishmanial, and toxoplasma infections.
- Urine/Genital: Examining for eggs from S. haematobium, microfilariae, and other parasites.
- Sputum: Can detect trophozoites of E. histolytica and eggs of P. westermani.
- Other specimens: Duodenal aspirates, liver and lung aspirates, corneal scrapings, aspirates, and cerebrospinal fluid are used for the detection of specific parasites.
Sample Collection and Preservation
- Stool samples should be free of antimicrobials and other substances interfering with parasite growth, ideally taken over several consecutive days.
- Different preservation methods include refrigeration (for eggs, larvae, and amoebic cysts), formalin, merthiolate-iodine-formalin (MIF), and PVA.
Stool Examination Techniques
- Formalin-ethyl acetate sedimentation: Ethyl acetate removes fats and oils, preserving the organisms.
- Zinc sulfate flotation: Specimens float on top of a zinc sulfate solution with higher specific gravity than the parasite eggs or cysts.
- Wet mount and hay infusion: Useful to observe the motility of protozoans.
- Direct wet mount: Examination of fresh specimens.
- D’ Antoni's method: Using iodine to stain the cysts of amoeba and other protozoa.
Parasite Identification and Reporting
- Reporting often includes the scientific name and quantity of observed parasites.
Hay Infusion
- Hay infusion is used to detect protozoa, which multiply by binary fission.
Concentration Techniques
- Concentration techniques help detect parasites by concentrating the organisms in smaller volumes.
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