A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
[Illustration: FIG. 2.--Hyaline casts, one containing renal cells;
properly subdued illumination (from Greene's "Medical Diagnosis").]
[Illustration: FIG. 3.--Same as Fig. 2; strong illumination. The casts
are lost in the glare, and only the renal cells are seen (from
Greene's "Medical Diagnosis").]
If the reflection of the window-frame or other nearby object is seen
in the field, the condenser should be lowered a little.
Focusing.--It is always best to "focus up," which saves annoyance and
probable damage to slides and objectives. This is accomplished by
bringing the objective {20} nearer the slide than the proper focus,
and then, with the eye at the eye-piece, turning the tube up until the
object is clearly seen. _The fine adjustment should be used only to
get an exact focus with the higher power objectives after the
instrument is in approximate focus._ It should not be turned more than
one revolution.
There will be less fatigue to the eyes if both are kept open while
using the microscope, and if no effort is made to see objects which
are out of distinct focus. Fine focusing should be done with the fine
adjustment, not with the eye. An experienced microscopist keeps his
fingers almost constantly upon one or other of the focusing
adjustments. Greater skill in recognizing objects will be acquired if
the same eye be always used. To be seen most clearly, an object should
be brought to the center of the field.
Magnification.--The degree of magnification should always be expressed
in _diameters_, not _times_, which is a misleading term. The former
refers to increase of _diameter_; the latter, to increase of _area_.
The comparatively low magnification of 100 diameters is the same as
the apparently enormous magnification of 10,000 times.
Magnification may be increased--(_a_) by using a higher power
objective, which is the best way; (_b_) by using a higher eye-piece;
or (_c_) by increasing the length of tube.
Eye-pieces and Objectives.--The usual equipment consists of one- and
two-inch eye-pieces, and two-thirds, one-sixth, and one-twelfth inch
objectives. These are very satisfactory for clinical work. It is an
advantage to add a one-half-inch eye-piece for occasional use with the
two-thirds objective. The one-sixth should have an especially long
working distance, otherwise it cannot be used satisfactorily with the
Thoma-Zeiss blood-counting {21} instrument, which has a very thick
cover-glass. Such a "special one-sixth for blood work" is made by most
of the microscope manufacturers.
Objectives are "corrected" for use under certain fixed conditions, and
_they will give the best results only when used under the conditions
for which corrected_. The most important corrections are: (_a_) For
tube length; (_b_) for thickness of cover-glass; and (_c_) for the
medium between objective and cover-glass.
(_a_) The tube length with which an objective is to be used is usually
engraved upon it--in most cases it is 160 mm.
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