fecal artifacts Flashcards

1
Q

feces contains what components

A

undigested food
digestive byproducts
human cells
secretions from the digestive tract
microorganisms

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2
Q

what are confusers

A

artifacts in human samples that are responsible for incorrect identification

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3
Q

may be confused with helminth eggs but are bigger than them; interior is unorganized and contains large vacuoles

A

vegetable cells

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4
Q

resembles taenia; little to no internal structures

A

pollen

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5
Q

polygonal and flattened

A

vegetable cell

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6
Q

lacks 6-hooked oncosphere and lacks embryo wall

A

pollen

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7
Q

may be confused with helminth larvae such as hookworms and strongyloides because of shape and size; no head or tail region

A

plant hair/fiber

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8
Q

ladder like appearance

A

vegetable spiral

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9
Q

refractile center; broken at one end; lacks internal structures

A

plant hair/fiber

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10
Q

confused with helminth larva due to size and shape; no head or tail region

A

vegetable spiral

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11
Q

may be confused with cryptosporidium spp., cyclospora spp, microsporidia, helminth eggs, or protozoan cysts

A

yeast

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12
Q

round to irregular round-shape; very refractile

A

starch cells/ granules

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13
Q

round to oval shape ~4-8um in size; normally present in stool hence reporting is not necessary

A

yeast

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14
Q

no internal structure or nucleus and can resemble protozoan cysts e. hartmanni and e. nana

A

starch cells/ granules

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15
Q

undigested starch is what color in iodine staining

A

blue-black

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16
Q

partially digested starch is what color in iodine staining

17
Q

spherical in shape and resembles protozoan cysts

A

fat globules

18
Q

protistan parasites of crayfish; corpora parasitica

A

beaver bodies

19
Q

large amount of this can indicate steatorrhea

A

fat globules

20
Q

present in stool if crayfish is consumed in significant amounts; resemble helminth ova; no clinical significance

A

beaver bodies

21
Q

how many droplets of fat is normal in samples

A

100 small droplets, <4 um in diameter

22
Q

how can you tell if it is steatorrhea already

A

observation of >60 large, 6-75um large droplets per HPO

23
Q

seen in improperly prepared wet mounts/ slides

A

air bubbles

24
Q

rectangular in shape; can or cannot have striations

A

muscle fiber

25
normally present in high red-meat diet; too much of this is creatorrhea
muscle fibers
26
muscle fiber in not normal in high amounts in what circumstances
biliary obstruction and gastrocolic fistulas; pancreatic insufficiency; cystic fibrosis
27
can be confused with tapeworm proglottid
muscle fibers
28
formed from the breakdown products of eosinophils
charcot-leyden crystals
29
large refractile nucleus with distinct cell borders
epithelial cells (squamous from anal mucosa and columnar from intestinal mucosa)
30
look like amoebic trophozoites lack internal structures of amoebic trophozoites
epithelial cells (squamous from anal mucosa and columnar from intestinal mucosa)
31
seen in stool or sputum slender crystals with pointed ends diamond shaped
charcot-leyden crystals
32
stain red-purple in trichrome stain
charcot-leyden crystals
33
if charcot-leyden crystals is seen, how is it reported
charcot-leyden crystal present
34
may indicate hypersensitivity or allergic reactions and parasitic helminth infections
charcot-leyden crystals
35
squamous epithelial cells from anal mucosa and columnar epithelial cells from intestinal mucosa
epithelial cells
36
what kind of nucleus and cell borders do epithelial cells have?
large refractile nucleus and distinct cell borders
37
what do epithelial cells look like?
amoebic trophozoites
38
what do epithelial cells lack?
lack the typical interior structures of amoebic trophozoites