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Teaching Syllabus of Human parasitology Experiment

(for 7th-year Program students, School Medicine )

 

Preface

Parasitology experiment is an important part of Humam Parasitology, and may combine theory with practice closely. It not only solidifies the knowledge of theory, but also need master some shapes, classifical fetures, life cycles and some techniques of human parasites. It can lay the foundations of the diagnoses, investigations of epidemiology and prevention of parasitoses.

The whole experiment period is 24 hours.   

Experiment 1  Trematode

1. Objective and requirements

(1) Understand the morphological features of the four species trematoda adult.

(2) Master the characteristics of the four species trematode egg.

(3) Distinguish the intermediate host.

(4) Know the miracidia hatching techniques.

2. Experimental contents

(1) Clonorchis sinensis

I. Self observation  Adult of C.sinensis (Slide specimen);  Egg of C.sinensis (Slide specimen)

II. Demonstration  Adult (Gross specimen ); Redia ( Slide specimen ); Cercariae (Slide specimen) ; Metacercaria ( Slide specimen ); Bithynia. Parafossarulus ( Gross specimen); Fresh water fish, shrimp ( Gross specimen)

(2) Paragonimus westermani

I. Self observation  Egg of P. westermani ( Slide specimen)

II.Demonstration  Adult worms of P. westermani (Gross specimen and Slide specimen); Cercaria (Slide specimen); Metacercaria (Slide specimen); Melania ;crabs, crayfish; Dog lung infected by lung fluke (Gross specimen)

(3) Fasciolopsis buski

I. Self observation  Egg of F. buski (Slide sepcimen)

II. Demonstration   Adult of F .buski (Gross specimen); Adult of F. buski (Slide, stained specimen) ;  Metacercaria (Slide specimen); Planorbis ; water caltrop; water chestnut; water bamboo

(4) Schistosoma japonicum

I. Self observation

1) Adult of S. japonicum (Slide specimen): Male worm ; Female worm; Female and male in copula

2) Egg of S. japonicum (Slide specimen)

II. Demonstration: mother sporocyst (Slide specimen); cercaria(Slide specimen); Oncomelania;  rabbit mesentery infected with S. japonicum (Gross specimen); rabbit lung and liver infected with S. japonicum (Gross specimen)

III.Techniques

1) Concentration of eggs by sedimentation

2) The miracidia hatching test

3. Experiment time  3 hours

Experiment  2   Cestode

1. Objective and Requirements

(1) Master the morphology of Taenia and Hymenolepis nana eggs.

(2) Understand the morphology of gravid proglottid and cysticercus of T. solium and T . saginatus.

(3) Recognize the basic structures of the larva of Echinococcus granulosus

(4) Master the morphology of hydatid sand.

(5) Understand the morphological features of the adult of Hymenolepis nana.

2. Experimental contents

(1) Taenia solium & Taenia saginata

I. Self observation

1) Taenia eggs (Slide specimen)

2) Gravid proglottid (slide specimen): Gravid proglottid of T.solium; Gravid proglottid of T. Saginata

3) Cysticercus (slide specimen)

II.Demonstration

1) Adult tapeworms of the two species (groos specimen): T.solium; T.saginata

2) Scolex (slide specimen): T.solium scolex; T.saginata scolex.

3)Mature proglottid (Slide specimen): Mature proglottid of T.solium ;   Mature proglottid of T.saginata

4) Gravid proglottid (Groos specimen) T.solium and T.saginata

5) Cysticercus of T.solium: (Groos specimen)

6)Bean pork

(2) Echinococcus granulosus

I.Self observation  Hydatid sand (Slide specimen)

II.Demonstration  Adult (stained specimen); Hydatid cyst (groos specimen)

(3) Hymenolepis nana

I.Self observation  Eggs of H.nana (Slide specimen)

II.Demonstration  Adult (Gross and Slide specimen)

3. Experiment time  3 hours

Experiment  3   Nematoda (1)

1. Objective and requirements

(1) Master the difference between adults of Ancylostoma duodenale and Necator americanus and Enterobius vermicularis.

(2) Master the morphology of hookworm eggs, fertilized eggs and non-fertilized egg and Enterobius vermicularis eggs.

(3) Master the principle operational procedure and application of brine floatation technology.

(4) Understand the shape of Ascaris lumbricoides adults.

(5) Understand the morphology of Enterobius vermicularis adults.

(6) Master the procedure of direct smear in fecal examination that is the common diagnostic method of parasitoses.

(7) Master the method of Scotch Tape Swab for recovery of  Enterobius vermicularis eggs.

2. Experimental contents

(1) Hookworms

Self observation  Eggs of hookworm (slide specimens)

II.Demonstration  Hookworm adults (gross specimens); The mouths of hookworm adult (slide specimens); The copulatory spicule of hookworm males (slide specimens); Filariform larvae of hookworm (alive specimens)

III.Technique:

1) The method of brine floatation.

2) Fecal culture for diagnosis of  hookworm larvae.

(2) Ascaris lumbricoides

Self observation  Fertilized eggs (slide specimens); Unfertilized eggs (slide specimens).

II.Demonstration  Ascaris lumbricoides adults; Lips of Ascaris lumbricoides adults. (slide specimens); Embryonated eggs of Ascaris lumbricoides (slide specimen); Decorticated eggs of Ascaris lumbricoides (slide specimens); The larvae in the mouse lung of Ascaris lumbricoides (pathological segment); Adult in bile duct of Ascaris lumbricoides (gross specimens).

III.Technique  The method of direct smear.

(3) Enterobius vermicularis

Self observation  Enterobius vermicularis eggs (slide specimens).

II.Demonstration  Enterobius vermicularis adults (gross specimens).

III.Technique:  Scotch Tape Swab for Enterobius and Taenia eggs. 

3. Experiment time  3  hours

Experiment 4   Nematoda (2)

1. Objective and requirements

(1) Master the morphology of Trichuris trichiura eggs and understand the shape of Trichuris trichiura adults.

(2) Master the morphological differences between microfilaria of Wuchereria bancrofti and microfilaria of Brugia malayi.

(3) Understand the larvea of T.spiralis in striated muscles.

2. Experimental contents

(1) Trichuris trichiura

I.Self observation  Trichuris trichiura eggs(slide specimens).

II.Demonstrsion  Adults (gross specimens); The adults lodged in the mucosa of pig intestine (gross specimens).

(2) Wuchereria bancrofti and Brugia malayi

I.Self observation   Microfilaria of W.bancrofti and Microfilaria of B.malayi

II.Demonstrsion  Adults of W.bancrofti and B.malayi (gross specimens); Filariform (infective) larvae (slide specimens); Sausage-like larvae (slide specimen,observe under high power).

(3) Trichinella spiralis

I.Self observation  Trichinella spiralis Larvae (slide specimens).   

II.Demonstration  Trichinella spiralis Adults (slide specimens).

3. Experiment time  3  hours

Experiment  5    Protozoa1

1. Objective and requirements

(1) Master the morphological characters of E.histolytica cysts and trophozoites.             

(2) Learn the technique of fecal examination for E. histolytica trophozoites and cysts.

(3) Master the morphological characters of  E. coli cyst. Differentiate E. histolytica from  E. coli.

(4) Master morphological characters of T. vaginalis stained.

(5) Master the morphological features of Giardia lamblia cyst.

2. Experimental contents

(1) Entamoeba histolytica

I. Self observation  Large trophozite of E. histolytica (iron-haematoxylin stained); Cyst of E. histolytica (iodine stained)

II. Demonstration  Living trophozoite; Cyst (iron-haematoxylin stained)

III. Technique  Iodine-stained film

(2) Entamoeba coli

I. Self observation  Cyst of E. coli (in iodine stain)

II. Demonstration  Cyst of E. coli (iron-haematoxylin stained)

(3) Trichomonas vaginalis

I. Self observation  Trophozoites ( Wright’s stained )

II. Demonstration  Living T. vaginalis

(4) Giardia lamblia

Self observation  Cyst (iodine stained)

3. Experiment time  3  hours

Experiment 6    Protozoa 2

1. Objective and requirements

Master the morphology and differential characters of three Plasmodium species in the erythrocytic stage.

2. Experimental contents

 Plasmodium vivax Plasmodium falciparum Plasmodium malariae

I. Self observation  P. vivax (thin blood film, stained): Ring form; Trophozoite; Schizont; Gametocyte

II. Demonstration

       1) P. vivax, different erythrocytic stages

       2) P. falciparum  ring fome.; gametocyte

       3) P. malariae  trophozoite

                       4) Sporozoites

   5) Oocysts

3. Experiment time  2  hours

Experiment 7    Protozoa 3

1. Objective and requirements

(1) Master the morphological characters of amastigote (L.D.body).

(2) Understand the morphology of promastigote.

(3) Understand the morphological characters of Toxoplasma tachyzoite and cyst.

(4) Understand the morphology of Pneumocystis cysts.

(5) Understand the morphology of Cryptosporidium oocyst.

2. Experimental contents

(1) Lishmania donovani

I.Self observation  Amastigotes (Giemsa’s stained)

II.Demonstration  Promastigotes (leptomonads)(Giemsa’s stained,)

(2) Toxoplasma gondii

I.Self observation  Tachyzoite (Giemsa’s or Wright’s stained)

II.Demonstration  tachyzoite Cyst

(3) Pneumocystis carinii

Demonstration  Cyst (Giemsa’s or Wright’s stained)

(4) Cryptosporidium

Demonstration  Oocyst

3. Experiment time  3  hours

Experiment 8  Medical Arthropod  (1)

1. Objective and requirements

(1) Master the main differential features of three mosquito genera (Anopheles,Culex and Aedes ) in adult and larvae.

(2) Understand the general morphology of mosquitoes in different developmental stages.

(3) Recognize the basic structures of the piercing mouth parts of the adults.

(4) Recognize the common morphology of sand fiies (adult P. chinensis).

(5) Observe the morphology of sand flies in different deverlpmental stages. 

2. Experimental contents

(1) Mosquitoes

I.Self observation

1) Adult mosquitoes : Anopheles (Species: Anopheles hyrcanus sinensis ); Culex ( Species: Culex pipiens pallens ), Aedes( Species: Aedes albopictus )

2) Larvae (slide specimens): Anopheles larva ;Culex larva ; Aedes larva

II .Demonstration

1) Mosquito proboscis (slide specimen)

2) Eggs (slide speciments): Anopheles eggs; Culex eggs; Aedes eggs

3) Pupae (slide specimens): Anopheles pupa; Culex pupa; Aedes pupa

4) The mosquito in different developmental stages(living, Aedes)

(2) Sand flies

I. Self observation  Phlebotomun chinensis

II. Demonstration

1) Adult

(1) External genitalia of male (slide specimens): P.chinensis; P. mongolensis

(2) Spermatheca of female (slide specimens): P.chinensis:maize ; P.mongolensis

(3) Pharyngeal armature (slide specimens): P.chinensis; P.mongolensis

2) Egg (slide specimen)

3) Larvae (slide specimen)

4) Pupa (slide specimen)

3. Experiment time  2 hours

Experiment 9  Medical Arthropod  (2)

1. Objective and requirements

(1) Recognize the morphological features of flies in different developmental stages .

(2) Understand the general characters of common house flies.

(3) Understand the relationship between the morphological features of flies and transmission of disease.

(4) Recognize the general features of fleas in different developmental stages.

(5) Understand the main identification points of fleas.

(6) Recognize the general morphlogy of two species lice and bed bugs.

(7) Recognize the morphological features of adult ticks.

(8) Understand the distinction between of hard ticks and soft ticks.

(9) Recognize the general morphology of Sarcoptes scabiei and 2 species of Demodex.

2. Experimental contents

(1) Flies

I. Self observation  Adult (mounted on insect needle) : Musca domestica vicina ; Chrysomyia megacephala; Lucilia sericata ; Bellieria melanura               

II. Demonstration

1) Head of Musca domestica vicina (slide specimen)

2) Legs (slide specimen)

3) Larva, posterior spiracles (slide specimen):

4) Different stages in the life cycle ( gross specimens,): Egg, larva, pupa and adult.

5) Head of stotomoxys calcitrans (slide specimen,): mouth parts of piercing type.

(2) Fleas

I.Self observation  Adult flea (slide specimen): Pulex irritans (slide specimen); Xenopsylla cheopis ( slide specimen) ; Ctenocephalides felis ( slide specimen )

II. Demonstration  Adult ( gross specimen);  Egg (slide specimen);  Larva (slide specimen); Pupa ( slide specimen); Leptopsylla segnis ( slide specimen)

(3) Lice

I. Self observation  Body louse (slide specimen)

II. Demonstration  Adult (Body louse); Nymph (slide specimen); Pubic louse (slide specimen); Egg (slide specimen)

(4) Bedbug

I.Self observation  Adult (slide specimen)

II. Demonstration  Adult (gross specimen); Nymph (slide specimen ); Egg (slide specimen,)

(5) Ticks

Demonostration  Hard ticks ( or Ixodidae ) adult (gross,specimen); Hard ticks adult - Ixodes persulcatus (Slide specimen ); Capitulum or false head of hard ticks adult (Slide specimen ); Soft ticks or Agasidae (Slide and gross specimen ); Larve (Slide specimen ); Nymph (Slide specimen ); Egg (slide specimen )

(6) Mites

Demonstration  Adult-Sarcoptes scabiei (slide specimen) ; Adult - Demodex (slide specimen ): D. folliculorumand and D. brevis

3. Experiment time  2 hours                                     

       

 
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