University:
Camosun College
Course:
NURS132 | Promoting Health and Wellbeing
Academic year:

2023
Views:

245

Pages:

3
Author:

Aysha A

GIARDIASIS Giardia lamblia ass. with diarhoeal manifestationos MORPHOLOGY Inhabits = crypts of duodenum & upper part of jejunum. 1. Pecs shaped trophozoito, Palmogenic, feeding stab 2. Tetranucleated oval cyst - Mlective, diagnostic form LIFE CYCLE Inf-form=cyst MOTE Ingestion of food and wats contaminated with matire cyst/ Mon acquire infectia by ingestia of cyst cyst passed Mke ces Encystation Trophozoites in jejunum Trophozoites released into lumen Infective dose-10-25/ ✓ kisk Factor Excystation in duodenun # Malabsorptin Trophozoites released Pathogenic form Trophozoites Trophozoites multiply by longitudind (Binary Fissin Trophozoites adhere to duodenal mucosa Asymptomatic corriers Chut & spread Acute giardiasis Iweek-3 weeks Diorhols, Ab pain, bloating, belching, vomitting Fatty diorhver:- Foul smelling with Fat, cellular exudate, and mucus, No Blood// ③ Chronic Gl symptoms Foul diorthor, weight loss, foul flatus // Extra urticaria, arthritis, salt & pepr Retinel change// LAB DIAGNOSIS STOOL EXAMINATION Stool microscopy = golden standard. detect Trophostes Trophowiles - adhere-int shedding. (3 samples 10 days) • Pas cell or Blood XN Sensits 6-80% ~90%(3) Concentration technique Zinc sulfate floation or formalin or sedimentation technique ~ether Duodenal samply Stool erans, aspirates // or biopsy// Brnaront stains Trichome stain. salike ladine mount examinatio/l/ Test Entero tyst (String test) It uses a gelatin capsule att to a thread containin y End of the thread & att to the patients chock. weight Capsule is cheewed // capsule elissolves in stomachi releasing the throadduodenom takes samples √4 hos saline to release trophozoites// det & wet mount Hislopathology Endoscops guided duodenal biopsy processed f touch preparatia & stained by Giesma stain Antigen detection in stool DEUSA & Pired Fleoresent Anhbog + Rapid ICT Ab delection→× serologo Culture Diamond's Media Moleculky Methods PCR// Biofirm Film Array Kadiblogicel find Barium meal reveal non-specific irregular mucosal Xray thickening with dilated loups of Hypotonic Bowel D Treatment Tinidazole (2g single dose)