#labmedicine

MOST RECENT

Giardia lamblia is smiling to you 🤣🐛 #giardiaintestinalis #lamblia #discorobaczki #parasites #wum #labmedicine

Blastomyces dermatitidis, H&E; it is an infectious fungus that spreads throughout the body. Can be found in the soil near the Great Lakes. Can invade the organs if untreated. #mycology #labmedicine #natureyouscary

Damn! Seriously damn! At least they got.....the worse possible people to cover....SMDH #therealmyfunnylablife #workhumor😂😂 #laboratoryhumor #labmedicine

Melanomas do come in many shapes and colors #pathologylife #dermatology #labmedicine #cheek

Putting on my stethoscope👩🏻‍⚕️ today for a different and less sexy post about gut health. Please bear with me while i rant (and hopefully provide some useful information) about improper test utilization.
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As a doctor who specializes in lab medicine, I see other doctors ordering expensive but unnecessary tests on a daily basis, but at least I have the ability to deny/cancel those requests. What's more frustrating is when i see the same thing on social media but can’t do anything about it - everything from celebs promoting #pinnertest to women paying $$$$ for gut microbiome testing for GI or hormonal issues. Being a patient is hard. I know because I suffer from IBS, but I can’t imagine how much more difficult/confusing it would’ve been without any medical knowledge. Naturally, you would hope that your doctor knows what’s best in terms of diagnosis and treatment. Unfortunately, that’s not always true. Therefore, I just wanted to emphasize a few points when it comes to GI issues and testing:
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1️⃣ FOOD INTOLERANCES ARE NOT THE SAME AS FOOD ALLERGIES, as illustrated by the above infographic. The symptoms are different (with some overlap), the timing of symptoms are different, the mechanisms are different, and therefore the methods of testing are different! Food allergies are immune mediated (specifically by IgE) whereas food intolerances are not, so it’s inappropriate/unnecessary to perform allergy tests (which are IgE-based) for food intolerance symptoms!
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2️⃣ MORE TESTING IS NOT ALWAYS BETTER! A common misconception is that it doesn’t hurt to do more testing since a negative test will just help to rule out an illness. Unfortunately, it’s not that simple! Lab tests are complicated, and accurate results depend on so many factors, including how it was developed, whether it’s FDA-regulated, and the target population. Many of these new expensive tests are not regulated, and some tests are only valid in specific populations (e.g. food allergy tests in children but not adults). Therefore, even if you don’t have food allergies, test results may come back positive, and you might end up unnecessarily eliminating foods.
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Continued in comments👇🏻

Gametocyte of Plasmodium falciparum
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The deadliest species of Plasmodium that cause malaria in humans. It is transmitted by a biological vector (a bite from a female Anopheles mosquito). It is called the deadliest parasite with an estimation of 445,000 deaths globally in 2016.
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P. falciparum assumes in several forms during its life cycle. At the human infected stage (aka exo-erythrocytic cycle), sporozoites from the salivary gland of a female Anopheles mosquito travel to the liver via the bloodstream. The sporozoites multiply in liver cells to become merozoites. These merozoites invade the red blood cells (this is called the erythrocytic cycle). This cycle occurs quite rapidly as the immature malaria parasites become mature within the erythrocytes and liberate more merozoites by rupturing the infected erythrocytes (sign of haemolytic anaemia). It can also develop into sexual form as male and female gametocytes which are taken up by a female Anopheles mosquito during a blood meal.
Clinical manifestations include fever and chills etc. So clinical diagnosis as well as patient’s history are important to increase the index of suspicion for malaria.
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Laboratory diagnosis is very important as it helps to back up your clinical diagnosis. Thick and thin blood film study is the gold standard method for the diagnosis of malaria. It’s cheap and fast. A follow up test is also used for rapid detection of malaria parasite and it is known as BinaxNOW malaria kit or rapid detection test (RDT). It is an in vitro immunochromatographic assay for qualitative detection of Plasmodium antigens circulating in patient blood samples. This test is designed to differentiate P. falciparum from other less virulent malaria species. It is quick, easy to interpret and does not require a skilled microscopist. Negative result of the kit must be confirmed by thin/thick blood smear microscopy. There are advanced molecular testings like ELISA but those are very fancy equipments which are not feasible in third world countries.
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The first image of malaria is taken using an iPhone 6 and is part of routine practice in the university.

Scalp. There are two hair follicles present with one associated with a sebaceous gland. Colloidal iron stain #vivid #histology #pathology #labmedicine #workworkwork #labweek

Check out the full video on the YouTube zdoggmd channel. It's hilarious! 🔬

#Repost @therealmyfunnylablife (@get_repost)
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Happy Lab week my fellow lab rats! Enjoy this fantastic video courtesy of @zdoggmd
#therealmyfunnylablife #workhumor #labweek2018 #labmedicine #laboratoryhumor #patientcare

Happy Lab week my fellow lab rats! Enjoy this fantastic video courtesy of @zdoggmd
#therealmyfunnylablife #workhumor #labweek2018 #labmedicine #laboratoryhumor #patientcare

Pomiędzy zajęciami 📚🔎💊💉🔬 #student #medstudent #lab #university #mirrorselfie #labmedicine #study

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