A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
Measurement of Microscopic Objects.--Of the several methods, the most
convenient is the use of a {23} micrometer eye-piece. In its simplest
form this is similar to an ordinary eye-piece, but has within it a
glass disc upon which is ruled a graduated scale. When this eye-piece
is placed in the tube of the microscope, the ruled lines appear in the
microscopic field, and the size of an object is readily determined in
_terms of the divisions of this scale_. The value of these divisions
in inches or millimeters manifestly varies with different
magnifications. Their value must, therefore, be determined separately
for each objective. This is accomplished through use of a stage
micrometer--a glass slide with carefully ruled scale divided into
hundredths and thousandths of an inch, or into subdivisions of a
millimeter. The stage micrometer is placed upon the stage of the
microscope and brought into focus. From the number of divisions of the
eye-piece scale corresponding to each division of the stage micrometer
the value of the former in fractions of an inch or millimeter is
easily calculated. The counting slide of the Thoma-Zeiss hemocytometer
will answer in place of a stage micrometer, the lines which form the
sides of the small squares being one-twentieth of a millimeter apart.
Any eye-piece can be converted into a micrometer eye-piece by placing
a micrometer disc--a small circular glass plate with ruled
scale--ruled side down upon its diaphragm.
The principal microscopic objects which are measured clinically are
animal parasites and their ova and abnormal blood-corpuscles. The
metric system is used almost exclusively. For very small objects 0.001
mm. has been adopted as the unit of measurement, under the name
_micron_. It is represented by the Greek letter µ. For larger objects,
where exact measurement is not essential, the diameter of a red
blood-corpuscle (7 to 8 µ) is sometimes taken as a unit.
{24}
CHAPTER I
THE SPUTUM
Preliminary Considerations.--The morning sputum or the whole amount
for twenty-four hours should be collected for examination. In
beginning tuberculosis tubercle bacilli can often be found in that
first coughed up in the morning when they cannot be detected at any
other time of day. Sometimes, in these early cases, there are only a
few mucopurulent flakes which contain the bacilli, or only a small
purulent mass every few days, and these may easily be overlooked.
As a receptacle for the sputum a clean wide-mouthed bottle with
tightly fitting cork may be used. The patient must be particularly
cautioned against smearing any of it upon the outside of the bottle.
This is probably the chief source of danger to those who examine
sputum.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account