Faeces Examination
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Transcript of Faeces Examination
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1. FAECES COLLECTION1. FAECES COLLECTION :
A. COLLECT FAECES IN A DISPOSIBLE CONTAINER B. DO NOT MIX WITH URINE
C. EXAMINE A FAECES WITHIN 30 - 40‘ IF NOT, PLACE IT IN REFRIGATOR D. PATIENT RECOMENDED NOT TO EAT SUBSTANCE
BARIUM, BISMUTH IN 5 DAS E. WHEN THERE IS OBSTIPATION CATHARTIC N!C"#N!2SO4
NOTESNOTES :
USE FAECES RANDOM, RAREL $4 HOURS IMPORTANT EXAMINATION OF FAECES : - EGGS OF WORM - PARASITES - OCCULT BLOOD SELECT THE PORTION OF FAECES WHICH GI%E LARGE
POSSIBILIT TO FIND ABNORMALITIES
PREANALYTIC
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EXAMINATIONEXAMINATIONOF FAECESOF FAECES
MACROSCOPIC MACROSCOPIC
1. FORM1. FORM$. COLOUR$. COLOUR3. SMELL3. SMELL4. CONSISTENC4. CONSISTENC5. MUCUS5. MUCUS&. BLOOD&. BLOOD
'. PUS'. PUS(. REST. OF FOOD(. REST. OF FOOD). PARASITE). PARASITE
MICROSCOPIC MICROSCOPIC
1. REST OF FOOD1. REST OF FOOD$. ERITHROCTE#$. ERITHROCTE# LEU*OCTELEU*OCTE3. AMOEBAE3. AMOEBAE4. THE EGGS OF WORMS4. THE EGGS OF WORMS
- CARBOHDRATE- CARBOHDRATE- PROTEIN- PROTEIN- FAT - FAT - %EGETABLES- %EGETABLES
CHEMIST CHEMIST 1. BLOOD1. BLOOD$. STERCOBILIN$. STERCOBILIN
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EXAMINATION OF FAECESEXAMINATION OF FAECES
A. MACROSCOPIC EXAMINATION OF THE FAECESA. MACROSCOPIC EXAMINATION OF THE FAECES +FRESH FAECES
1. FORM1. FORM : A NARROW # RIBBON LI*E FAECES
$. THE COLOUR OF FAECES$. THE COLOUR OF FAECES :A. NORMAL : BROWNISH # PALE BROWN
B. ABNORMAL : 1 BLAC* : MELAENA BLEEDING FROM THE UPPER GUT $ CLA COLOUR : ACHOLIS DIMINUTION # ABSCENT OF STERCOBILIN 3 RED BLOOD, ORIGINATING FROM THE LOWER GUT FOOD # BEETS 4 THE OTHER : %EGETABLES DIET - GREEN - ELLOW
3. SMELL OF FAECES3. SMELL OF FAECES :
- NORMAL : SMELL WITH INDOL,S*ATOL, BUTIRIC ACID - PUTRESCENT : PUTREFACTION OF PROTEIN B BACTERIA - ACID : CARBOHDRATE FERMENTATION DIARE
- ROTTEN : FAT FATT ACID - RANCID : BACILLAR DSENTRI
ANALYTIC AND POSTANALYTIC
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B. MICROSCOPIC EXAMINATION OF THE FAECESB. MICROSCOPIC EXAMINATION OF THE FAECES
1. REST OF FOOD : A. CARBOHDRATE : LUGOL SIDE B. PROTEIN : ACETIC ACID SLIDE C. FAT : SUDAN III SLIDE
D. %EGETABLES : ACETIC ACID SLIDE$. AMOEBA # OTHER PROTOOA : EOSIN SLIDE3. ERTHROCTE # LEU*OCTE : EOSIN SLIDE4. THE EGGS OF WORM : - DR SLIDE METHOD - CONCENTRATION TEST
PREPARATION FOR THE TEST PREPARATION FOR THE TEST MA*E :
1. SUSPENSION OF FAECES
$. REAGENT FOR TEST +EOSIN, ETC
MIX
PUT THE CO%ER GLASS ON IT
EXAMINE B MICROSCOPE
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MICROSCOPIC EXAMINATION OF FAECESMICROSCOPIC EXAMINATION OF FAECES
1. REST OF FOOD1. REST OF FOOD
A. CARBOHDRATE : LUGOL AMLUM # CH / IODIUM BLUE
CARBOHDRATECARBOHDRATE
DEXTRINDEXTRIN
B. 30 ACETIC ACID RED MUSCLE
%EGETABLE
CONECTI%ETISSUE
C. FAT SUDAN III RED BALL STRUCTURE
$. AMOEBA$. AMOEBA / EOSIN AS NEGATI%E STAINING VV
KK
LLEE
+BAC*GROUND : RED COLOURAMOEBAER # LEU*O
COLOURLESS
3. ERTHROCTE # LEU*OCTE3. ERTHROCTE # LEU*OCTE : EOSIN +1 - $ MORPHOLOG APPEAREANCE SAME LI*E IN THE SEDIMENT OF URINE
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4. THE EGGS OF WORM4. THE EGGS OF WORM
A. DR PREPARATION STREA* THE FAECES
ALLOW TO DR ALLOF THE FAECES
CO%ER WITHPARAFIN LIUIDIUM
THROUGH OUT THE FAECES
MICROSCOPICEXAMINATION
AD%ANTAGE OF USING PARAFIN LIUIDUM :1. THE SLIDE IS CLEAN AND NOT DIRT$. THE SLIDE IS GOOD SMELLING3. THE PANORAMA IN THE MICROSCOPE IS MORE CLEAR
MA*E ATTENTION TO THE EGGS OF WORM OF :
ASCARISLUMBROCOIDES TRICHOCEPHALUS
AN*LOSTOMADUO DENALE
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C. CHEMICAL EXAMINATIONC. CHEMICAL EXAMINATION
1. OCCULT BLOOD EXAMINATION1. OCCULT BLOOD EXAMINATION
SMALLER INCREASES IN BLOOD CONTENT MA NOT ALTERAPPEAREANCE OF THE STOOL
FAECES SUSPENSIONFAECES SUSPENSION
METHOD :METHOD :
ACETIC ACID 3 mlACETIC ACID 3 ml
1 grBENZIDIN
FILTERFILTER
FILTRAT FILTRAT
HH22OO22 3%3%
3 ml3 ml
2 m l
2 m l
:: GREENGREEN TOTO BLUEBLUE/READ WITHIN 5 ‘
BENIDIN TEST BENIDIN TEST :- %ER SENSITI%E 10 - 1000 TIMES MORE SENSITI%E THAN
GUAIAC TEST
- THE PATIENT SHOULD HA%E DONE THE BENIDINE DIET - OR A MEAT FREE DIET FOR 3 - 5 DAS
1.A. BENIDINE TEST 1.A. BENIDINE TEST
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B. CONCENTRATION TEST B. CONCENTRATION TEST ESPECIALL FOR DETECTION THE EGG OF AN*LOSTOMA
PRINCIPLEPRINCIPLE :
SPECIFIC GRA%IT OF THE EGG IS LESS THAN THE SPECIFICGRA%IT OF N!C" SOLUTION SO THAT THE EGGS ARE FLOATINGON THE SOLUTION AND ATTACHED TO THE CO%ER GLASS
METHODMETHOD :
MICROSCOPE
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1.B. GUAIAC TEST 1.B. GUAIAC TEST
GUAIAC IS $0 TIMES LESS SENSITI%E THAN BENIDINE GI%E / RESULT WHEN $4 HOURS FAECES CONTAIN A HALF
2" OF BLOOD GUAIAC HARS IS DIFFICULT TO GET, NE%ER BE DONE
PROCEDURES :PROCEDURES :
MIXELL
MIX
ELL
MIX
ELL
OBSER%E FOR $ MINUTERECORD THE MAXIMAL BLUE COLOUR
$ 2" WATER$ 2" WATER0.5 FAECES0.5 FAECES
0.52"0.52"G".A AG".A A
$ 2" GUAIAC$ 2" GUAIACSOLUTIONSOLUTION
MIXSTARTIN!
TIMER
$ 2" H$ 2" H22OO22 33
TRACETRACE 1 /1 / $ //$ // 3 ///3 /// 4 ////4 ////
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$. STERCOBILIN$. STERCOBILIN
5 2" HC"5 2" HC"CONCENTRATECONCENTRATE
FAECES 1 - 3 FAECES 1 - 3
STAND FORSE%ERAL HOURS
+ONE NIGHT
BOILREAD SOON
UROBILINUROBILINPALE REDPALE RED
BILIRUBINBILIRUBINBLUE COLOURBLUE COLOUR