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  • Fecalysis Form New 2021

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    This document is a fecalysis laboratory report from Laguna Provincial Hospital. It includes the patient's identifying information and test results from both macroscopic and microscopic examination of a fecal sample. The microscopic examination notes the presence or absence of parasites, bacteria, and other elements found per high powered field or liters of processed feces. The report is signed by the pathologist and medical technologist in charge of the case.

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    FECALYSIS FORM NEW 2021

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    This document is a fecalysis laboratory report from Laguna Provincial Hospital. It includes the patient's identifying information and test results from both macroscopic and microscopic examination of a fecal sample. The microscopic examination notes the presence or absence of parasites, bacteria, and other elements found per high powered field or liters of processed feces. The report is signed by the pathologist and medical technologist in charge of the case.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    41 views1 page

    Fecalysis Form New 2021

    Uploaded by

    GCMDH
    This document is a fecalysis laboratory report from Laguna Provincial Hospital. It includes the patient's identifying information and test results from both macroscopic and microscopic examination of a fecal sample. The microscopic examination notes the presence or absence of parasites, bacteria, and other elements found per high powered field or liters of processed feces. The report is signed by the pathologist and medical technologist in charge of the case.

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    © All Rights Reserved
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    of 1

    LAGUNA PROVINCIAL HOSPITAL LABORATORY RESULT

    + GEN. CAILLES MEMORIAL DISTRICT HOSPITAL


    100 Tavera Street, Pakil, Laguna 4017 ● (049) 557 0213 to 15
    FECALYSIS
    ACCREDITED HEALTHCARE PROVIDER

    MACROSCOPIC EXAMINATION: MICROSCOPIC EXAMINATION


    PATIENT’S NAME: _________________________________________ Entamoeba histolytica:
    Color DATE/TIME: _______________________
    Consistency
    BIRTHDATE: __________________ AGE/GENDER: ___________ Cyst: CASE NUMBER: ___________________
    /hpf
    CHEMICAL TEST (OCCULT BLOOD) /hpf
    Trophozoites:
     POSITIVE E. coli: /hpf
     NEGATIVE E. nana: /hpf
    MICROSCOPIC EXAMINATION: Trichomonas: /hpf
    Ascaris lumbricoides: /lpf Others:
    Trichuris trichiura: /lpf Pus cells: /hpf
    Ancylostoma duodenale /lpf Red blood cells: /hpf
    (hookworm):
    Strongyloides /lpf Bacteria: /hpf
    stercoralis:
    Others/Comments: Yeast cells: /hpf
    Fat Globules: /hpf
    Starch Granules: /hpf
    Others:

    IMELDA MARIE FREMIELLE F. PALACOL, MD, FPSP __________________________


    Pathologist Medical Technologist
    PRC License Number 0080292

    LAGUNA PROVINCIAL HOSPITAL LABORATORY RESULT


    + GEN. CAILLES MEMORIAL DISTRICT HOSPITAL
    100 Tavera Street, Pakil, Laguna 4017 ● (049) 557 0213 to 15
    FECALYSIS
    ACCREDITED HEALTHCARE PROVIDER

    MACROSCOPIC EXAMINATION: MICROSCOPIC EXAMINATION


    PATIENT’S NAME: _________________________________________ Entamoeba histolytica:
    Color DATE/TIME: _______________________
    Consistency
    BIRTHDATE: __________________ AGE/GENDER: ___________ Cyst: CASE NUMBER: ___________________
    /hpf
    CHEMICAL TEST (OCCULT BLOOD) /hpf
    Trophozoites:
     POSITIVE E. coli: /hpf
     NEGATIVE E. nana: /hpf
    MICROSCOPIC EXAMINATION: Trichomonas: /hpf
    Ascaris lumbricoides: /lpf Others:
    Trichuris trichiura: /lpf Pus cells: /hpf
    Ancylostoma duodenale /lpf Red blood cells: /hpf
    (hookworm):
    Strongyloides /lpf Bacteria: /hpf
    stercoralis:
    Others/Comments: Yeast cells: /hpf
    Fat Globules: /hpf
    Starch Granules: /hpf
    Others:

    IMELDA MARIE FREMIELLE F. PALACOL, MD, FPSP __________________________


    Pathologist Medical Technologist
    PRC License Number 0080292

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