Faeces Examination

8/17/2019 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

Faeces Examination

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