Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
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The history is certa<strong>in</strong>ly suggestive of an <strong>in</strong>fective process,<br />
and both giardia and cryptosporidia should also be<br />
sought. Choose the best answer below:<br />
A. Giardia are usually present <strong>in</strong> large numbers <strong>in</strong> faeces, so either microscopy or<br />
direct antigen detection are appropriate. Cryptosporidia though are usually<br />
present <strong>in</strong> smaller numbers and direct antigen detection is a more sensitive,<br />
but a less specific diagnostic assay.<br />
B. A comb<strong>in</strong>ed iron haemotoxyl<strong>in</strong> and trichrome sta<strong>in</strong> of a faecal smear provides<br />
the most sensitive detection method for giardia and cryptosporidium<br />
detection. This method is more labour <strong>in</strong>tensive and is limited by a higher<br />
threshold of organism detection than the PCR or immuno-detection methods,<br />
but those methods also have imperfections.<br />
A<br />
B