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Protozoa
classified by their motility: ameba (psuedopodia), flagellates (flagella), ciliates (cilia), Sporozoa (nomotile)
Hemlinth
classified by shape. Flatworms (trematodes and cestodes) and roundworms (nematodes)
Trophozoite
The active, moving, and feeding stage inside the host
Cyst
The hard, safe shell that helps the parasite survive outside the body
Stool Specimen
deliver to lab ASAP or placed in preservative. Traditionally 3 stool specimen over 10 day period.
Formalin Preserved Stool
risks that small number parasites get diluted out. 3:1 ratio of preservative to feces
Diagnostic/Theraputic Interfering Substances
barium/bismuth, mineral oil/castor oil, anitbiotics/anti-diarrheal drug, metamucil
Macroscopic Exam
unpreserved stool only. examine for intact worms or proglottids seen on surface of stool. consistency and color
Formed Stool Storage
examine within 2 to 3 hours at RT. Can store at 4C for 24hrs
Sedimentation
formalin-ethyl acetate method. recovers all ova, cysts, and larvae. no trophozoites
Zinc Sulfate Flotation
preserves delicate protozoan cysts. distorts them slightly, does not capture heavy eggs
Microscopic Exam
saline/iodine. Battlement method
Ocular Micrometer Calibration
required for measuring structures to aid in id of parasties
Trichrome Stain (w/Wheatly Modification)
fresh stool fixed, or preserved in PVA acceptable. intestinal protozoa
Iron hematoxylin Stain
specimen preserved in SAF
Entero-Test
duodenal aspirates. looks for eggs of fasciola hepatica and clonorchis sinensis. Can recover oocysts of cryptosproidium and C. belli