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🧪 What is Pus Routine Microscopy?

Pus Routine Microscopy is a laboratory examination of a pus sample collected from an infected site. The sample is observed under a microscope after staining (commonly Gram stain) to identify:

Presence and quantity of pus cells (polymorphonuclear leukocytes)
Type and morphology of bacteria or fungi
Other cellular elements (epithelial cells, debris)

❓ Why is the Test Done?

To:

Diagnose the presence and type of infection
Identify bacterial or fungal organisms
Guide appropriate antimicrobial therapy
Monitor treatment response
Differentiate between infectious and non-infectious inflammation

🔬 What is Examined?

Component	Details
Pus cells (PMNs)	Indicates active infection/inflammation
Bacteria	Gram-positive or Gram-negative; cocci or rods
Fungi	Yeasts or hyphae if present
Other cells/debris	Epithelial cells, RBCs, crystals

📊 Interpretation of Results

Microscopy Findings	Possible Implications
Numerous pus cells	Active infection
Gram-positive cocci	Possible Staphylococcus or Streptococcus species
Gram-negative rods	Possible E. coli, Pseudomonas, Klebsiella
No organisms but pus cells	Possible prior antibiotic treatment or fastidious organisms
Fungal elements	Fungal infection
No pus cells or organisms	No infection or sample contamination

🧠 Associated Conditions

Organ/System	Conditions
Skin and soft tissue	Abscess, cellulitis
Respiratory tract	Pneumonia, empyema
Genitourinary tract	Urinary tract infections, pelvic inflammatory disease
Wound infections	Postoperative or traumatic wound infections

🔄 Related / Follow-Up Tests

Pus Culture and Sensitivity – for definitive organism identification and antibiotic susceptibility
Complete Blood Count (CBC) – to assess systemic infection
Inflammatory markers – CRP, ESR
Imaging studies – if deep-seated infection suspected

✅ Fasting Required?

Test	Fasting Required
Pus Routine Microscopy	❌ No

📝 Summary Table

Parameter	Details
What	Microscopic examination of pus for infection indicators
Why	Detect infection type and presence
Normal Result	Few or no pus cells, no organisms
Abnormal Findings	Numerous pus cells, bacteria, fungi
Associated Conditions	Abscesses, wound infections, pneumonia, UTI
Follow-up Tests	Culture & sensitivity, CBC, inflammatory markers
Fasting Required	❌ No

Pus Routine Microscopy

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