A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
[Illustration: FIG. 1.--The microscope: 1, Eye-piece; 2, draw-tube; 3,
main tube; 4, nose-piece with objectives attached; 5, objective in
position; 6, stage; 7, substage; 8, adjustment of substage; 9, mirror;
10, coarse adjustment; 11, fine adjustment.]
Illumination.--Good work cannot be done without proper illumination.
It is difficult to lay too much stress upon this point.
The best light is that from a white cloud. {18} A northern exposure is
desirable, since direct sunlight is to be avoided. Good work can be
done at night with a Welsbach light. Ordinary gas-light and the
incandescent electric light are unsatisfactory, although the latter
gives good results when subdued with a heavily frosted globe. The
writer uses a frosted electric bulb in a dark-room lantern, and tones
the light to the proper degree for low powers by means of
frosted-glass plates which slide into the grooves which have held the
ruby and orange glasses. One of these plates is made of blue glass, to
overcome the yellow of the artificial light. It is not generally
advised to do so, but it will be found convenient to use the Abbé
condenser for all routine work. With daylight it is best to use the
plane mirror: with artificial light, the concave mirror. To obtain
best results, the light must be focused upon the object under
examination by raising or lowering the condenser.
Illumination may be either _central_ or _oblique_. Central
illumination is to be used for all routine work. To obtain this, the
mirror should be so adjusted that the light from the source selected
is reflected directly up the tube of the microscope. This is easily
done by removing the eye-piece and looking down the tube while
adjusting the mirror. The eye-piece is then replaced, and the light
reduced as much as desired by means of the diaphragm.
Oblique illumination is to be used only to bring out certain
structures more clearly after viewing them by central light: as, for
example, to show the edges of a hyaline cast by throwing one of its
sides into shadow. Oblique illumination is obtained in the more simple
instruments by swinging the mirror to one side, so that the light
enters the microscope obliquely. The more {19} complicated instruments
obtain it by means of a rack and pinion, which moves the diaphragm
laterally. Beginners frequently use oblique illumination without
recognizing it. If the light be oblique, an object in the center of
the field will appear to move from side to side when the fine
adjustment is turned back and forth.
The amount of light is even more important than its direction. It is
regulated by the diaphragm. _It is always best to use the least light
that will show the object well._ Unstained objects require very
subdued light. Beginners constantly use it too strong. Strong light
will often render semitransparent structures, as hyaline casts,
entirely invisible (Figs. 2 and 3). Stained objects, especially
bacteria, require much greater light.
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