What are the tests for amebic granuloma of the appendix?

  Pay attention to the prevention of amoeba and trematode infections. Actively treat the primary disease and make sure to use medication under the guidance of a doctor: if the medication is not right, it may aggravate the disease. Exercise regularly to strengthen your body; get enough sleep; eat more vitamin-rich foods; learn to regulate your emotions; your immunity will be enhanced when you are in a happy mood. What kinds of tests are included in the examination of amebic granuloma of the appendix?  1, fecal examination: (1) live trophoblast examination method: saline direct smear method is commonly used to examine the active trophoblast. Requires a clean container, fresh fecal samples, the faster the test is sent, the better, the cold season, but also pay attention to transport and inspection of insulation. When examining a clean slide, add 1 drop of saline, then take a small amount of fecal pro with a bamboo stick, apply it in saline, add a coverslip, and then place it under the microscope. Microscopic examination shows that the mucus contains more sticky integrated clusters of red blood cells and fewer white blood cells, and sometimes Charcot-Leyden crystals (Charcot-Leydencrystals) and active trophozoites are visible.  (2) Encapsulation method: clinically, the iodine smear method is commonly used, which is simple and easy to perform. Take a clean slide, add 1 drop of iodine solution, and then take a small amount of fecal sample with a bamboo stick, smear it into a thin slice with a coverslip in iodine solution, and then place it under the microscope to identify the characteristics and number of cell nuclei.  2.Amoeba culture: There have been a variety of improved artificial culture media, commonly used such as Lock’s solution, egg, serum medium, nutrient agar serum saline medium, agar peptone biphasic medium, etc.. However, the technique is complicated and requires certain equipment, and the artificial culture of ameba has a low positive rate in most subacute or chronic cases, so it seems to be inappropriate as a routine test for ameba diagnosis.  3, tissue examination: direct observation of mucosal ulcers through sigmoidoscopy or fiberoptic colonoscopy, and tissue biopsy or scraping smear, the highest detection rate. It is reported that the sigmoid colon and rectum have lesions in about 2/3 of symptomatic patients, therefore, all suspicious patients should strive for colonoscopy, scraping smear or biopsy. The trophoblast must be taken at the edge of the ulcer, and a slight local bleeding is appropriate after the clamp. In addition to sexual characteristics, the pus cavity puncture fluid examination should be taken from the wall of the pus cavity, which is easier to send trophozoites.