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When digitally removing stool, what should you check?

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Final answer:

When digitally removing stool, gloves should be used for safety, and examination at 1000X magnification should check for bacteria, blood, and other agents. Stool samples need prompt analysis with methods like immunoassays or PCR, and sometimes additional tests like sigmoidoscopy may be required. Past medical interventions and dietary habits should be considered, along with the potential impact on liver functions.

Step-by-step explanation:

When Digitally Removing Stool, What Should You Check?

When digitally removing stool for examination, it is essential to ensure proper protocols and safety measures are adhered to. First and foremost, gloves must be worn throughout the process to prevent contamination and protect against potential pathogens. While examining the sample, particularly when achieving a clear image at 1000X magnification, pay attention to the presence of specific features such as fecal bacteria, the possible presence of blood, cysts, or other causative agents like C. jejuni, Salmonella, and E. histolytica.

It is crucial to process stool samples swiftly and utilize appropriate techniques for analysis, which may include immunoassays for S. dysenteriae, API test strips, Enterotube systems, PCR testing, and examining for white blood cells and blood in the samples. In some cases, a physician may ask for additional tests like a flexible sigmoidoscopy, O&P exam, immunoassay, serology, biopsy, molecular, and antibody detection tests. Moreover, analyze the specimen on multiple days to ensure an accurate diagnosis. Treatment can vary, such as the usage of antibiotics like ciprofloxacin and azithromycin, although antibiotic resistance should be considered.

When evaluating interventions like dietary changes or medications for conditions reflected in stool characteristics, it is important to understand the effects of diet and hydration on stool consistency and frequency of bowel movements. The role of the liver in processing and excreting waste, and how substances like alcohol may adversely affect these functions, should also be acknowledged.

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