Introduction to Diagnostic Medical Parasitology
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Key Diagnostic Features
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Exercises
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Exercise for microfilaria
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Where the sample was taken from?
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Skin (multiple skin snips preferred; without blood contamination!)
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How does the posterior end of the microfilaria look like? (Use oil immersion and make sure - by clearly seeing nuclei - that the worm is not an artefact)
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Nuclei extend to the tip of the posterior end in the unsheathed thin microfilaria. In most cases the tip of the tail has the aspect of a Shepards crook
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The tip of the posterior end has no nuclei
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Blood sample: Thick smear
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Has the microfilaria a sheath? (be aware that mixed infections are quite common!)
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The microfilaria has a sheath
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How does the posterior (elongated end) of the sheathed microfilaria look like? (watch for the real end in microfilaria which are not nicely stretched out!)
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Nuclei do not extend to the tip of the tail
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Nuclei extend to the tip in a continuous row
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Two separate nuclei at the tip of the tail
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The microfilaria has no sheath
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How does the posterior (elongated) end of the unsheathed microfilaria look like?
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Nuclei extend to the tip of the blunt tail
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Nuclei do not extend to the tip of the tail
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