✨Study✨
کانال بسته
- بسم الله الرحٰمن الرحيم - كم نفر عِدهم طن تراكمات وامتحانات وقرروا يجتهدون ويسوون هاي القناة ويُدرسون بيها ..
نمایش بیشتر380
مشترکین
اطلاعاتی وجود ندارد24 ساعت
-17 روز
-830 روز
آرشیو پست ها
380
A patient develops intestinal obstruction due to heavy worm burden. Most likely organism?
380
مُهمات ‼️ :
KATO-KATZ TECHNIQUE
🔸 Used for stool helminth diagnosis
🔸 Especially Schistosoma mansoni
🔸 Gives eggs per gram (EPG)
🔸 Hookworm slides examined within 30–60 min
🔸 Not suitable for diarrheal stool
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HARADA–MORI TECHNIQUE
🔸 Used for hookworm larval culture
🔸 Uses filter paper in moist environment
🔸 Incubation 5–7 days
🔸 Helps differentiate hookworm from Strongyloides
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STRONGYLOIDES STERCORALIS :
✨✨Has 2 life cycles✨✨
✨Has free-living and parasitic cycles ✨
✨Infective stage = Filariform ✨larva
✨Diagnostic stage = Rhabditiform larva in stool ✨
✨Autoinfection occurs ✨
✨Hyperinfection in immunocompromised patients✨
✨Larvae—not eggs—found in stool✨
✨Ground itch occurs✨
✨Drug of choice = Ivermectin ✨
✨Can cause sepsis from enteric bacteria✨
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✨TRICHINELLA SPIRALIS✨
✨Infection from undercooked pork/bear meat✨
✨Infection from undercooked pork/bear meat✨
✨Larvae encyst in striated muscle ✨
✨ Nurse cell formation✨
✨Periorbital edema characteristic ✨
✨Subconjunctival hemorrhage diagnostic clue ✨
✨Eosinophilia marked✨
✨Muscle biopsy diagnostic✨
✨Humans are dead-end hosts✨
380
Nematodes
✨Cylindrical unsegmented worms✨
✨Sexes are separate (male & female)✨
✨Male smaller than female غالبًا✨
✨Complete digestive tract موجود✨
✨Infective stages either eggs or larvae✨
✨Eosinophilia common in tissue migration✨
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ENTEROBIUS VERMICULARIS :
✨ Causes pinworm infection✨
✨ Most common in children✨
✨Female migrates to perianal area at night✨
✨Causes nocturnal pruritus ani✨
✨Diagnosis by Scotch tape test✨
✨Eggs flattened on one side (planoconvex)✨
✨Autoinfection common✨
✨Infective stage = Embryonated egg✨
✨Treatment includes treating whole family✨
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ASCARIS LUMBRICOIDES :
✨Largest intestinal nematode✨
✨Infection by ingestion of embryonated eggs✨
✨Infective stage = Embryonated egg✨
✨Diagnostic stage = Egg in stool✨
✨Larval migration through lungs causes Loeffler syndrome✨
✨Adult worm lives in small intestine✨
✨Can cause intestinal obstruction in children✨
✨Can migrate to bile duct/pancreas✨
✨Fertilized egg mammillated✨
✨Treatment = Albendazole/Mebendazole✨
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مهم ‼️
البراز السائل يُفحص خلال 30 دقيقة
30 minutes → Liquid stool
البراز الصلب يُفحص خلال ساعة
1 hours → Formed stool
380
مهم بالعملي ‼️
- الطفيليات الميته راح تتصبغ ✅
Dead organisms → stained
- الطفيليات العايشة مراح تتصبغ ❌
Living organisms → unstained
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⚠️ نلكى Cysts💩 بالبراز المتماسك بالـformed stool
⚠️ ونلكى Trophozoites 💧بالبراز السائل بالـliquid stool
- العدسة 10× حتى نسوي scan❗️
- العدسة 40× حتى نشوف التفاصيل details ❗️
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🔻 اذا لكينا IgM → يعني اصابة حديثة او حالية Recent infection
🔻 اذا لكينا IgG → اصابة قديمة او مزمنة Past infection
شلون نحفظها ؟
M : جديد
G : قديم
380
مهم
- الصلب 💩 Formed stool : بيه Cysts + Helminth eggs
- شبه صلب 🤏 semi formed : بيه Cysts + Trophozoites
- سائل او مائي 💦 Watery stool : بيه Trophozoites
