Exercise 4: DIFFERENT ELEMENTS FOUND IN FECAL EMULSION Flashcards
are large cells containing abundant, irregular cytoplasm and a prominent nucleus about the sîze of RBC
Epithelial cells
They may occasionally appear folded and show all stages of disintegration
Epithelial cells
It is not unusual to find these in stool because they originate from the linings of the alimentary tract, represent normal cellular sloughing and have no pathologic significance
Epithelial cells
An increased amounts are more frequently seen in inflammation of
the bowel.
Epithelial cells
An increased amounts are more frequently seen in inflammation of
the bowel.
Epithelial cells
are large, mononuclear phagocytic cells with large vesicular nuclei.
Usually, the ratio of nucleus to cytoplasm in a macrophage is approximately 1:6 or 1:8
They may appear vacuolated and frequently contain remnants of ingested leukocytes and erythrocytes.
They show various degrees of necrosis and may appear as outlines of cells or ghost cells.
They can be mistaken for amoebic trophozoites but lack motility
Macrophages
are large, mononuclear phagocytic cells with large vesicular nuclei.
Macrophages
Usually, the ratio of nucleus to cytoplasm is approximately 1:6 or 1:8
Macrophages
They may appear vacuolated and frequently contain remnants of ingested leukocytes and erythrocytes.
Macrophages
They show various degrees of necrosis and may appear as outlines of cells or ghost cells.
Macrophages
They can be mistaken for amoebic trophozoites but lack motility
Macrophages
are round or slightly elongated with an irregular outline; measuring 10.20 p in diameter; cytoplasm is shiny, clear and granular with tiny vacuoles: and have multilobed nuclei
Leukocytes
The predominant leukocyte found in feces is the neutrophil (polymorphonuclear cell. PMN) and can mimic amoebic cysts
Leukocytes
When PMNs have been in tile gut for some time and have begun to
disintegrate, the nuclear morphology becomes indistinct; the normal
lobed nucleus is broken into fragments that are inconsistent in size and
shape, sometimes with a star-shaped false karyosome
Leukocytes
They are best seen when I or 2 drops of 10% acetic acid are added to a drop of fecal emulsion on the slide (identified using HPO).
Leukocytes
A few are normally present
Leukocytes
An excess (as few as 3/HPF) occurs in bacillary dysentery, other
inflammatory states and ulcerative conditions.
Leukocytes
may appear as smooth, non-nucleated, biconcave disks (a) measuring approximately 6-8 p in diameter, or the cells shrink and appear crenated (b) or irregularly shaped, or become swollen (c).
Erythrocytes
They do not occur normally in feces
Erythrocytes
Only found when the lesion (ulcerations or bleeding) is in the colon, rectum, or anus.
Erythrocytes
(a) are easily identified by their colorless, prism shape that resembles a coffin-lid
Triple phosphates
The most common (b) is the colorless, octahedral envelope.
Calcium Oxalates