372 IndexDark-field microscopy 64, 211, 211,216Decontaminationblood spills 84<strong>laboratory</strong> accidents 101microscopes 65Definitionsmass 3mole 3quantity 2weight 3Deionizers 33Delafield’s haematoxylin stain 355Demineralized water 27–29, 28–29, 33Derived units, SI 3–5Dessicators 34, 37Diabetes 236, 239, 322Diacetyl monoximeblood urea concentration 325–327stock solution 367Diaphragms, microscopes 56, 57, 58,61, 61Diarrhoeal diseases (see also Intestinalparasites)common causes 105–106dysentery amoebae 113, 113–114Dichromate cleaning solution 355Dicrocoelium spp. (lancet fluke) 106,131, 134, 134Dientamoeba fragilis 114, 114–115, 120Differential counters 32Differential diagnosesEntamoeba histolytica/Escherichiacoli 114larvae 157, 158parasites and other matter 144–146,144–146tapeworms 148, 149Differential leukocyte counts, seeLeukocyte type number fractionDigested meat fibres, identification 145,145DilutionsAHD reference solution 277Drabkin fluid 271–275, 355–356haemiglobincyanide referencesolution 272–273, 272–275Diphtheria (see also Corynebacteriumdiphtheriae) 201, 201–202, 252,253Diphyllobothrium latum (fish tapeworm)106, 152adults 152eggs 130, 136, 136Dipstick testsfalciparum malaria 344–346, 345–346hepatitis B 344, 344HIV 342, 342urine 234, 253–254Dipylidium caninum (tapeworm) 106adults 148, 149eggs 130, 135, 135Direct examinationCSF 256–257, 256–257semen 212stools 107, 107urine 234Dir<strong>of</strong>ilaria spp. 159Disinfectants (see also Cleaning;Sterilization) 85–90Disodium hydrogen phosphate361–362Dispatchspecimens 91–96, 93–94CSF 263–264, 264sputum 205, 206stool 109–110, 216–218throat 207, 207urogenital 209, 209Dispensary balances 69, 69Dispensing, liquids 73–77, 73–77Disposable materials 90–91, 90–91Disposal<strong>laboratory</strong> waste 90–91specimens 97Distilled water 24–27, 25–26Distributors, water 24, 24Drabkin diluting fluid 271–275,355–356Drainage, plumbing 22–23, 22–23Drinking-water, disinfection 84Drop bottles 35, 37Dropping pipettes, calibrated 75,75Dry heat, sterilization 90, 89–90Dual-voltage electrical equipment 16,16Duke method, bleeding time 295–296,295–296Dysentery amoebae (Entamoebahistolytica) 113, 113–114Ear lesions, leprosy 221, 221–223Echinococcus granulosus (hydatidcyst) 151, 151Ectothrix 226, 226EDTA dipotassium salt 356Effusions, examination 218–219Eggshelm<strong>int</strong>hs 126–144, 129–144,152–153sputum/throat specimens 206–207urine specimens 248, 249–251Electric centrifuges 70–72, 70–72Electricity 12–20equipment 15–17equipment failure 17–20meters 16shocks from 101supply sources 12–15Electronic charge regulators 14ELISA, see Enzyme-linkedimmunosorbent assayElliptocytes 308, 308–309
Index 373Endolimax nanus 114, 114, 120, 120Endothrix 226, 226Entamoebacoli 113, 113–114, 118, 120hartmanni 114, 114, 120, 120histolytica 106, 113, 113–114, 118,120Enterobius vermicularis (pinworm) 106adults 146, 147eggs 126, 128, 135–137, 135–137Enzyme immunoassay 331, 331Enzyme-linked immunosorbent assay(ELISA) 331, 341–342, 343–344Eosinophils, polymorphonuclear 310,311, 311Eosin solution 117–118, 356Epithelial casts, urine 243, 244Equipment 1–2centrifuges 70–73, 70–73cleaning 77–90, 78–82electrical 15–20, 16–19first-aid 98<strong>laboratory</strong> 32–46, 34–35, 39–44water demineralizers 27–29, 28–29Erlenmeyer flasks 34, 36–37, 45Erythrocytes 265, 265, 306, 307abnormal 306–310, 306–310Cabot ring bodies 309, 310CSF 257–258haemoglobin relationship 284–285immature (reticulocytes) 316–319,318malaria infected 179measurement 6–7nucleated 292, 310, 310number concentration 6, 265, 284,287–288sedimentation rate (ESR) 292–295,293–294sickle-cell anaemia 314–316, 315thin blood films 305–310, 306–310urine 240, 241, 241–242volume fraction 6, 279–287, 280–283,286–287ESR, see Erythrocytes, sedimentationrateEstimation, see CalculationEvaporating dishes 34, 37Expiry dates, reagents 46Extension leads, electrical 19, 19Exudates, examination 218–220Eyepieces, microscopes 56, 61, 61Eyesacid/alkali splashes in 99, 99, 100filarial infection 160Facial lesions, leprosy 221–223, 222Faeces, see StoolsFailure, electrical equipment 17–20False casts, urine 244, 244False positives/negatives, smearstaining 201Fasciola spp. 106, 128, 138, 138Fasciolopsis buski 106, 128, 138, 138Fatty casts, urine 243, 244Female patients, urogenitalspecimens 208, 209, 215Fibrinogen, deficiency 298Field stains 356–357faecal trophozoites 117malaria parasites 177–178thin blood films 299, 304, 304–305Filariae 159–172, 162–163blood infection 163–172, 166–167,171–172geographical distribution 160, 165,172skin infection 160–163, 161–163Filariasis, see FilariaeFilms (see also Slide preparation)thick blood 173–182, 175, 187, 187,193–194, 193–194thin blood 173–179, 175–176,178–181, 299–314, 300–304,306–314Filter funnels 34Filtersmicroscopes 57water 24, 24Filtration, parasite detection 168–170,169, 250–251, 250–251Fire risk, electricity 17First aid 98–101, 99Fish tapeworm (Diphyllobothriumlatum) 106, 152eggs 128, 134, 134Fixationbiopsy specimens 95–96smears 197, 199, 199Fixatives 95, 362–363, 368Flagellatescysts 121, 121, 123motile <strong>for</strong>ms 111, 115–116, 115–116pathogenicity 111Flaming, sterilization 90, 90Flammable liquids, precautions 97Flasks 34, 36–37Flatworms, see FlukesFlotation <strong>techniques</strong>, parasitedetection 152–153, 152–153Flukes (see also Schistosoma spp.)liver, transmission routes 106stools 150–151, 150–151Fluorescent treponemal antibodyabsorbed(FTA-Abs) test,syphilis 346–347Fluoride oxalate anticoagulant 357Forceps 35, 36, 38Foreign substances, urinespecimens 244–245, 245Formaldehyde 357stool preservation 109, 110, 110Formaldehyde–detergent sedimentationtechnique 154–156, 155–156
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