FOBT
DETECTION OF FECAL OCCULT BLOOD IS CRITICAL TO MANY GASTROINTESTINAL DISEASES SUCH AS (5)
HEMORRHOIDS
DIVERTICULITIS
FISSURES
COLITIS
COLORECTAL CANCER
FOBT
OVERCOMES INSTABILITY OF _________ AND THE HYPERSENSITIVITY OF ______&_______
GUIAC SOLUTION
BENZIDINE & ORTHO-TOLIDINE
FOBT
______ STOOL COLLECTION
3- CONSECUTIVE DAYS
PRINCIPLE OF FOBT
PSEUDOPEROXIDASE ACTIVITY OF HEMOGLOBIN
GUIAC COLOR:
OXIDIZED GUIAC COLOR:
COLORLESS
BLUE COLOR
OXIDATION OF PHENOLIC COMPOUNDS IN THE _____TO_____ RESTING IN________
GUIAC ; QUINONE
BLUE COLOR
WHEN A FECAL SPECIMEN CONTAINING OCCULT BLOOD IS APPLIED TO THE TEST PAPER (________) CONTACT IS MADE BETWEEN THE_______&______
GUIAC IMPREGNATED
HEMOGLOBIN AND GUIAC
Pseudoperoxidaase reaction will occur upon addition of________
DEVELOPER SOLUTION
Composition of developer solution (2)
DENATURED ETHANOL
6% HYDROGEN PEROXIDE
Color reaction will occur after_____
30 SECONDS
SPECIMEN COLLECTION AND HANDLING
PATIENT MUST BE PLACES IN A_________ AND CONTINUING THE TEST PERIOD.
HIGH RESIDUE, DIET 2 DAYS BEFORE
Food to be avoided when testing for FOBT (10)
RED OR RARE MEAT
RAW FRUITS AND VEGETABLES
TURNIP
BROCCOLI
PARSNIP
CAULIFLOWER
CANTALOUPE
RED RADISH
HORSERADISH
ASPIRIN OR ANTI-INFLAMMATORY MEDICINES ,AND RECTAL MEDICINES, VITAMIN C
INTERFERING SUBSTANCES IN FOBT (4)
HIGH DOSES OF VITAMIN C
FRUITS AND VEGETABLES
RED MEAT
ASPIRIN, INDOMETHACIN,RESERPINE, PHENLBUTAZONE, CORTICOSTEROIDS AND HEAVY ALCOHOL
IT’S EFFECT IS FALSE NEGATIVE
INHIBITS OXIDATION STOP TWO DAYS BEFORE ENDURING TEST
High doses of vitamin C
IT’S EFFECT IS FALSE POSITIVE
PLANT PEROXIDEASE MIMICS HEMOGLOBIN REACTION
Fruits and vegetables
It’s effect is false positive
CONTAINS HEMOGLOBIN OR MYOGLOBULIN CAUSING FALSE REACTION
Red meat
Its effects is false positive
Cause G.I. irritation/bleeding and stop seven days before enduring test
ASPIRIN,INDOMETHACIN, RESERPINE, PHENYLBUTAZONE, CORTICOSTEROIDS AND HEAVY ALCOHOL
PROCEDURE OF FOBT
SUPPLY ALL INFORMATION LISTED ON THE_____ OF THE______
OPEN THE_____
USING THE________ COLLECT A SMALL AMOUNT OF STOOL SPECIMEN FROM A_______ CONTAINER APPLY A VERY_____ IN BOX 1
REUSE______ TO OBTAIN A SECOND SAMPLE FROM A DIFFERENT PART OF THE STOOL SPECIMEN APPLY A_________ INSIDE BOX 2. FLUSH STOOL AND DISCARD STICK IN WASTE CONTAINER
ALLOW THE SPECIMEN TO______ THEN CLOSE THE COVER
OPEN________ ON THE BACK OF THE SLIDE
APPLY___ DROPS OF __________ TO THE BACK SIDE OF BOXES 1 AND 2
READ RESULTS AFTER _______AND WITHIN______
RECORD THE RESULTS ANY TRACE OF_______ WITHIN OR ON THE OUTER RIM OF THE SPECIMEN IS POSITIVE FOR OCCULT BLOOD
FRONT FLAP ; HEMA SCREEN SLIDE
FRONT FLAP
APPLICATOR STICK
STERILE SCREW CAP
THIN SMEAR
APPLICATOR
VERY THIN SMEAR
PERFORATED WINDOW
2 DROPS ; HEMA SCREEN DEVELOPER
30 SECONDS ; 2 MINUTES
BLUE COLOR
ON SLIDE MONITORS ARE PROVIDED ON EACH HEMA SCREEN SLIDE
POSITIVE AND NEGATIVE MONITORS
POSITIVE ______
NEGATIVE ________
QUALITY CONTROL
BLUE
NO TRACE OF BLUE
INTERPRETATION OF RESULTS IN FOBT
COLOR WHEN POSITIVE FOR OCCULT BLOOD IS
BLUE
COMMONLY USED CHROMOGEN BECAUSE IT IS NOT TOO SENSITIVE AND AVOIDS HIGH FALSE POSITIVE
GUM GUIAC
IS THE MOST SENSITIVE CHROMOGEN
BENZIDINE
FOBT FALSE POSITIVE REACTION (4)
NSAIDS
CONTAMINATION OF MENSTRUAL BLOOD
HEMORRHOIDS
NOT ADHERENCE TO DIET ADVICE
FOBT FALSE NEGATIVE REACTION (1)
VITAMIN C AND IRON INTAKE