Review questions for fecal tests and client education scenarios Fecal tests review

sadhospitalMécanique

22 févr. 2014 (il y a 3 années et 3 mois)

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Review questions for fecal tests and client education scenarios


Fecal tests review


Fecal Smear


Fecal smear wet mount is done to detect :


Fecal smear wet mounts can be stained with what 2 stains?


Fecal smear dry mount is typically done for what 3 stain
s and for what purposes?


What is done with mucus in the feces for fecal smear?


Fecal Flotation


How does fecal flotation work?


What are the preferred reagents for fecal flotation?


What is fecal flotation used to detect?


What is done with mucus in the
feces for a fecal flotation?


What is done with kitty litter in a fecal sample?


What is the difference between simple fecal flotation and fecal flotation centrifugation?


Fecal sedimentation


What is fecal sedimentation?


What is fecal sedimentation used
to detect?


What reagent is used for fecal sedimentation?


What stains can be used for fecal flotation or fecal sedimentation?






Client conversations and questions
-

gleaned from some fond memories of Dr. Aller


Roundworms:



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My dog has just been diagnose
d with roundworms. What are roundworms? What do they
look like and what do they do?


Can I catch these worms from my pet?


How would I know I am infected?


How can I keep from getting infected?


Why do I have to deworm more than once and keep rechecking th
e fecal? Aren't they
gone once you give the medication?


Toxoplasma


I am going to have a baby in a few months and I have a cat.

I have heard about a disease that cats give pregnant women and can harm the baby. Is that
true?


How do cats get it?



How wo
uld I get infected?




How would I know if my cat carries the disease?



My husband wants me to get rid of my cat. You know he never did like my cat. I had my
cat before we were married and to tell you the truth I think he is jealous of the cat. I don’t
kn
ow what will happen when the baby comes, he’ll probably be jealous of the baby.
Anyway, do you think I should get rid of my cat?




How would I know if I were to get Toxoplasmosis or if I have ever had it?



What can I do to protect myself if I decide to k
eep my cat?




Hookworms:


My dog has just been diagnosed with hookworms. What are hookworms? What do they


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do and what do they look like?


How can a worm that lives in the intestine cause coughing? That’s ridiculous
-
you are so
full of stories! Any excuse t
o charge me for a fecal test!


Can I catch these worms from my pet?


How would I know I am infected?


How can I keep from getting infected?


Why do I have to deworm more than once and keep rechecking the fecal?


Coccidia:


My kitten has coccidia. What kin
d of worm is that and what does it do?



Why can’t I just give a medication once like a deworming and get rid of it? Why do I
have to give this medication for so many days?


If the medication works and the diarrhea goes away, why do I have to get the fecal

rechecked?


Can we catch these coccidia from my kitten?


Giardia:

My dog has something called Giardia. What kind of worm is that and what does it do?



Can I get it from my pet?



My neighbor’s dog had a hard time getting rid of it. What do I have to get

rid of it so it
doesn’t come back?



I have a large kennel of show dogs and if this Giardia goes through my kennel it will be a
disaster
-

don’t you people have some kind of vaccine, or maybe even a preventative
medication like for that heartworm thing?



After treatment, the doctor said to bring my dog in for a recheck fecal. I don’t want to
drag my dog in again. Why can’t I just bring in a fecal sample?




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Demodectic mange:

My dog has something called Demodex. Is that like ringworm or something? What is
th
at?


Can I catch it from my dog?


When you did the skin scraping
-

you really hurt my dog and made him bleed. When you
do the recheck skin scraping don’t do it like that again. OK?


Why do you have to do so many skin scrapings just because the first one is
negative? You
people are turning my dog in to a bleeding mass of skin scrapings!



Heartworm:


Heartworm
-

Where I come from we never heard of it. What is that and what does it do?



Why can’t you just give a deworming medication for me to give and get rid
of it if he gets
it?



So then can I get it?


How do I keep my dog from getting heartworms?


How does the preventative work?


Why do I have to do a blood test instead of a fecal test?


Why do I have to do a blood test periodically even if he is on this re
ally great effective
preventative year round?


"My dog doesn't need a heartworm test. We have a fenced in yard, there is no way he
could get heartworms."




Chyletiella mange
:


Ok what is this dandruff mange business about?



Can my other pets get it?



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H
ow do I get rid of it?



Can I get it? Is that why I have dandruff?



Sarcoptic mange


What is Sarcoptic mange and how does it differ from regular mange?


Can my other pets get it?


How do I get rid of it?


Can I get it?


Ear mites


Wow, my cat has ear mit
es
-

what are ear mites and what do they do?


How do cats get ear mites?


My cat sleeps with me or my kids
-

can we get ear mites too?


How are ear mites treated?


How can ear mites come back even after all the mites are killed by the treatment?


Pinworm sc
enarios


My child has pinworms and the pediatrician insists that I get my cat and dog both checked
for worms because that’s probably where he got them. So here are the fecal samples, OK?



My child has pinworms and I saw some similar worms on my cat’s rect
um area. So would
you please have the doctor write me a prescription so I can treat my cat for pinworms? I
don't want the cat to spread it to the rest of my family.



Fleas


Please tell me how to check for fleas. I was told fleas cause this rash on my cat,

but I
never see any. I run a clean household, I don’t see how there could be fleas.




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Dipylidium
Tapeworm


The fecal was negative but I am finding these little worms wriggling around my cat’s
behind. And there are these strange little dried rice things o
n his bedding and stuck to his,
you know, rear end hairs. I was told these are tapeworms, but I thought those tapeworms
were really a lot bigger and not these little tiny specks.

If the worms are coming out on
their own, how come I still need to deworm him
?


I was told the type of tapeworm is carried by fleas, but my cat does not have fleas. I run a
clean household, this is not possible.




Can I catch these tapeworms from my cat?


Are those little dried things in the bedding anything important?


Tapeworms
(Taenia sp.)


The fecal was negative but I am finding these little worms wriggling around my cat’s
behind again. You know maybe your dewormer doesn’t work. Last time you all said it
was because my cat had fleas, which he didn’t, but OK so I bought into you
r story and
paid for the medication, but now here we are again with tapeworms again. There have not
been any fleas around since the deworming. The doctor said this time these tapeworms
may not be the type carried by fleas. How can you tell? They look the s
ame to me just as
before when he had fleas.


If these are the non
-
flea tapeworms, can I get it from my cat? I have always wanted to
lose some weight and I heard getting a tapeworm was a good way to do that.



But I have heard of people getting tapeworms
-

h
ow do we get them?



Fecal accusations:


I never saw any worms and my dog seems fine. Why do I have to bring in this stinky
poop? What do you do
-

dig through the stuff until you find a worm in there? I never see
any worms and I can tell you buster, I have
looked. I think you people are just trying to
take my money for some bogus test.




I brought in a fecal because I saw some worms. Now you tell me the fecal was negative?
Actually there was a worm right on top of the big fat turd I gave you. How could you
miss


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that? I think you people are just trying to take my money for some bogus test.


Miscellaneous


Here is a fecal sample I want you to check for worms

my dog had been scooting and I
know that means he has worms.