Showing posts with label parasitology. Show all posts
Showing posts with label parasitology. Show all posts

Saturday, March 6, 2010

Schistosomes are my favorite...

Parasitology lab scores high, high marks for featuring microscopic things that WRIGGLE! We spend so much time looking at blood smears and tissue samples and path specimens (scenterific is the word that comes to mind every Monday morning as I walk in and get a good lungful) that things that move are unique and wonderful. Both squirmy and squirm-inducing. Last time we had live microfilaria in hepatocrit tubes (doin' the dirofilaria dance) and on blood smears.

This week was flukes and other wonderful critters that camp out in the liver (and lungs). I was amazed at the similarity of paragonimus lung flukes to moldy pumpkin seeds: they have the exact same ellipsoid shape and off-putting shade of greenish brown. And Fasciola liver flukes are absolutely lovely, they look like those little leaves that accompany the flowers on linden trees. But with intestines.

Best of all were the schistosomes. These are the wormy things behind swimmer's itch, though that's just in people. In dogs they penetrate the skin and go to the liver. They then eventually work their way to the mesenteric veins. where the males and females hook up for a lifelong spooning session. One of our lecturers very kindly provided live specimens in mouse mesentery, so we were able to see the adults in all their, erm, romantic entanglement. Every egg has a little spike on it that helps it move into the lumen of the bowel (and everywhere else). They're pretty immunogenic, so infected animals end up with lots and lots of granulomas wherever the eggs randomly lodge themselves.

We did tissue squash preps with a thoroughly granulomatous liver. My lab partner isn't a great fan of pathology once it's visible with the naked eye, so I had the privilege of setting up the slide. Large chunks of liver with numerous oval eggs: Success! We were advised to keep watching. Sure enough, after a decent amount of time sitting on a warm microscope, a few of the eggs showed signs of life--little larvae starting to squirm around inside. I was fascinated and would have happily waited for them to hatch, but again, my lab partner wanted to finish with the other slides assigned for the day, so I regretfully put the babies aside. When I came back to the slide, all I could find were the immature eggs and empty egg casings--the larvae had hatched and disappeared.

I was a bit disappointed, and scrolled around a bit more in search of a decently mature egg that might be ready to hatch. Then something shot by in the field of view. Rather like being passed by a car doing 80 on the interstate. I hurried after it as best I could (alas, I did not have enough practice with etch-a-sketches for truly proficient microscope driving). More by accident than anything, it darted back into view again--a tiny, bouncing baby schistosome miracidium. It was very cute, in a flubber sort of way. NOT something I want swimming around my internal organs, mind you. It spun around as a blob, then stretched itself out and darted away again. You could tell around the lab who had gotten to the miracidium stage of their squash mount, because it's hard NOT to exclaim when of of these things swims into your field of view and waves.

Sunday, January 31, 2010

It's a plan!

I got called in yesterday--which worked out really well, in fact. Realistically, I would not have gotten around to studying anyway. As it was, the surgery was relatively quick (a back--over in three hours!), and fortunately there was no backlog of pans to sterilize in the CS for clean-up.

Also, one of the older surgeons was supervising. He was one of the ones who seems to have endless patience with students, always able to offer a bit of advice in such a way that you're glad to take it. He helped with the teching, which was good--I haven't been called in since fall, and I wasn't moving efficiently enough to have kept up with four surgeons (eh, two of them were students) and the anesthesiologists.

Today, though--I must study! But all my good intentions will run away if I don't set up a study plan, since I keep forgetting how many classes I have.

So!
1. Anesthesiology: set up a chart of the drugs we learned last week, review the calculations. Our first exam is Wednesday.

2. Parasitology: Chart out this week's life cycles. My goal is to hang them on the walls when I'm done, and I have a lot of wall space to cover!

3. Pathology: Review cardio, probably by looking at pictures and reading my notes aloud.

If I feel like it, I will tackle the most recent lecture, which had a lot of diagrams with horrible 60's era typeface. I have trouble keeping up with the professor, who rattles off the complicated proceedings of the endocrine system like an auctioneer at a cattle sale. But without repeating anything, ever. If you were a good student, you'd be paying attention and get it the first time, right? (To be fair, he's perfectly willing to stop and repeat something; it's just hard to recognize when you, the student, need to have it explained again. After all, the professor knows what he's talking about, so it sounds very reasonable when he says it.)

4. Clin path: Technically we have homework due tomorrow afternoon. Hm. In contrast to systemic pathology, the professor for this class has splendidly lucid lectures, so I can probably get away with reading through the notes.

5. And if there's any time left over, making flash cards for all of the above!