Showing posts with label Fluid and excretion. Show all posts
Showing posts with label Fluid and excretion. Show all posts

Thursday, November 26, 2015

Various tests' kit/cassette in [Fluid and excretion department]


(PS: The red line at the control area implies that the kit is functional.)



Rota virus test
   2 drops of the solution ( stool + buffer ) and wait for 10 minutes.
If there is red line shown on the test area, indicate that the test has positive result.





UPT test/ Pregnancy test/ HCG test
3 drops of urine were inserted into the sample well and wait for 3 minutes for the result.

OR

Use the pregnancy test strip.

1. Dip the test strip into patient's urine.
2. Read the result after 3 minutes.






Occult blood test

   2 drops of the solution ( stool + buffer ) and wait for 10 minutes

Urine FEME

Methodology:
  1. Immerse one Urine strip into the patient's urine.
         

    Urine strips box.

  2. Place the urine strip into the analyzer for color determination.
    And counter check the test strips result from the analyzer with the color on the box.


    Blue : Strips Box   ; Red : Analyzer    ;Green : Urine strip
  3. Centrifuge the urine which inserted into the test tube.


  4. Dispose the supernatant and dissolve the sediment with remaining liquid and make a slide.
  5. View the slide with cover slip under microscope.



Additional information:

When there is nitrate presented in the patient's urine, we can look for the presence of bacteria to verify the positive result under microscope.







Result interpretation chart in our lab.

* hpf : observe in high power field  ;   lpf : low power field *




What can we find within Urine?




1. What is this?

The crystal under 10x of objective.

Calcium Oxalate ( 40x ) * Envelope shape* 
*Dumbbell shape* Calcium Oxalate ( 40x )






2. What is this?

The round cell with granules on left top is WBC.







3. What is this?


Haemolysed RBC has spiky morphology.(picture above)


One of the patients' sample which consists of more than 200 RBC



4. What is this?



There was one case, the pellet of the urine after centrifuged was milky in color. 
And under microscopic view, we saw this.

Amorphous Urate
(If in alkaline urine, called as amorphous phosphate)






5. What is this?

Under 10x of objective.
(Red: Hyaline Cast    ;  Blue: Epithelial cells)

Hyaline cast under 40x of objective.



Different types of cast under 10x of objective.




6.What is this?


Uric acid (lemon/leaf-shaped)

10x
40x




7.What is this?




Spermatozoa (head with tail)
8.What is this?


Yeast ( Oval-shaped and forms budding)








Pictures for references:

Crystal

Picture



Cast
Picture

casts in urine

Urine Casts