ࡱ> ( / 0DArialTitlingthtt 0"DGaramondlingthtt 0 DTimes New Romantt 00DWingdingsRomantt 0@DDecoType Thulutht 0PDFelix Titlingtht 0R A . @n?" dd@  @@`` p05 **   ()  (),,HHHH,,KLMNOPHH>>HH 5 () ,,,, 0AA f@8 o p/N2ʚ;6_v8ʚ;g4HdHd 0ppp@ <4dddd@w 0t <4!d!d@x 0tN0___PPT10 pp___PPT9@@?  %  .'D/ 1N$HA C1NJE&"`"`\E',3*J1 #-J'! E,G1J) CDJ) 'D7( / ,'E9) 'DCHA)L/&6&`&6&6.#Hydatid of Echainococcus granulosusV$!! #6#6 #6 $  History of the disease.6   Although hydatid cyst was known to ancient physicians and historians, Goeze in 1782 first demonstrated that the causative organisms was a cestode. The adult warm in the dogs discovered by Hartmann in 1695. in 1786 Batsch gave it the name  granulosus | Z ZF( (i(((((ZG  ?  E   Geographical distribution  E .granulosus is world wid , in temperate and subtropical regions where sheep are extensively raised . southAmerica,Africa,south Australia, new Zealand, Asia, south Europe.$ ((&    Morphology   Adult warm. Egg. Larval warm. (    Life cycle  Habitat of adult warm . The eggs are discharged . Infection to intermediate host (sheep and man). Hexacanth emberyos in the duodenum. Location of infection.  n(  Laboratory diagnosis  Casoni test. Differential leucocyte count. Serological tests. Examination of cyst fluid. Histological examination . Radiodignosis. > n (V    Q      Treatment   tSurgical removal of the H .((depend on size ,location ,2ndry infection)). Chemotherapy (praziquantel, albendazole). u nu(t O!  0` 3` ff>>\fg` J*T333` QYmx~3ft` \ғhEy`` cb^DDf`Y˵W` sg7xGr` K%ޯd{mG/` 33f>?" dd@,?nFd@    @ `  n?" dd@   @@``PR    @ ` `<p>> (<(  (N ( 6P #" `b `` H@___PPT9"@ l*$    H ( 6 #" `` `` H@___PPT9"@ f*"   xT ~ ( "~\ { ( "{ ( c BB CDEFd @ bb   H   T W6Vw}\gFQ6<1++11 1L b6xQrq 6\}N   - c    0 A Q g     S    6N KawF bFy0 a*ly7lE;uz  B | a F 0 ! 1 < B < & l L 0  @`"T  ( c |BC+DEFyd @ ==gL6cI}\eA& w6m!W<! &<W!r6W}F6\}>68QNlX^XH8+Sgg|@`"Jo 5 J (  B! CDEF @ ))\*l{FDNF W% W ! !   ! 6X L b x_ /aF6b}SA$|l\\TX@`s"*  T  u4  ( B C%DEF ss&QW}k6D Q r 8 N c t y y ;t Qi gS }8     T   :0\-Q4*%%v*o(V}5q;  S   < s } l \ g} \, L ;n &  Z}\[6 }WF<! e C }h m W ]  ,t B RxkqA,Rg@`" {b  (  BCDEFy @ ,,Lh6\}mWG &a*zCxsh-&jG]~5g6&LLZ\@`s"*   u(   (  BCDE|Fy @ __@% M|f4@{ f0`lA}L\A+h MB6ww FJl{ 0V|{J  *5KlGn a*:Pf\|6 /6Kbf|F kP}5x}VvaP@@@`s"*   =>   ( c BlCrDEF"d@ rlrl@`"~  ( 6  " `}  r>'FB1 D*-1J1 FE7 'D9FH'F 'D1&J3J  J ( 6l #" ```  H@___PPT9"@ h*$    ( 0l " `  'FB1 D*-1J1 #FE'7 'DF5 'D1&J3J 'DE3*HI 'D+'FJ 'DE3*HI 'D+'D+ 'DE3*HI 'D1'(9 'DE3*HI 'D.'E3 [B ( s *޽h ? 3___PPT10i. u%.+D=' (= @B +  Stream o 0 .&,(  ,xT ~ , "~\ { , "{ , c BB CDEFd @ bb   H   T W6Vw}\gFQ6<1++11 1L b6xQrq 6\}N   - c    0 A Q g     S    6N KawF bFy0 a*ly7lE;uz  B | a F 0 ! 1 < B < & l L 0  @`"T  , c |BC+DEFyd @ ==gL6cI}\eA& w6m!W<! &<W!r6W}F6\}>68QNlX^XH8+Sgg|@`"Jo 5 J ,  B! CDEF @ ))\*l{FDNF W% W ! !   ! 6X L b x_ /aF6b}SA$|l\\TX@`s"*  T  u4 , B C%DEF ss&QW}k6D Q r 8 N c t y y ;t Qi gS }8     T   :0\-Q4*%%v*o(V}5q;  S   < s } l \ g} \, L ;n &  Z}\[6 }WF<! e C }h m W ]  ,t B RxkqA,Rg@`" {b ,  BCDEFy @ ,,Lh6\}mWG &a*zCxsh-&jG]~5g6&LLZ\@`s"*   u(   ,  BCDE|Fy @ __@% M|f4@{ f0`lA}L\A+h MB6ww FJl{ 0V|{J  *5KlGn a*:Pf\|6 /6Kbf|F kP}5x}VvaP@@@`s"*   =>   , c BlCrDEF"d@ rlrl@`"~  , <|bZ "F  Z r>'FB1 D*-1J1 FE7 'D9FH'F 'D1&J3J    , 0eZ " `   Z N'FB1 D*-1J1 FE7 'D9FH'F 'D+'FHJ 'D1&J3J( (N  , 6|fZ #" `` `` ZH@___PPT9"@ l*$    J , 64oZ #" `b`  ZH@___PPT9"@ h*$   H , 6tZ #" `d `` ZH@___PPT9"@ f*"   B , s *޽h ? 3___PPT10i. u%.+D=' (= @B +p 0L0  0(  x  c $LZ ,< Z x  c $$Z ,pY  Z H  0޽h ? 33___PPT10i.c01 +D=' (= @B + o 0L0 F>,(  , , S Z ( `v<$ 0  Z H , 0޽h ? f;v3ff)!___PPT10..c&+ۥD' Z= @B DL' = @BA?%,( < +O%,( < +D' =%(%(D ' =%(D' =ABBB@B0B%(D' =1:Bvisible*o3>+B#style.visibility<*,%(D' =+4 8?bCB#ppt_x-.2BCB#ppt_xB*Y3>B ppt_x<*,D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*,D' =-6Bwipe(right)*q3=-B%gradientSize: 0.1<*,+8+0+,0 + o 0 0(  0x 0 c $dZ ( `}  Z  0  04Z (S"  `<$D 0 Z H 0 0޽h ? f;v3ff___PPT10..c+.`D$' Z= @B D ' = @BA?%,( < +O%,( < +D' =%(D/' =%(D' =A@BB%BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =-g6B fade*<3<*0D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*0D-' =+4 8?hCB#ppt_y+1BCB#ppt_y-.03B*Y3>B ppt_y<*0)?DI' d=+4 8?dCB#ppt_y-.03BCB#ppt_yB*Y3>B ppt_y<*0%()?D' =%(D/' =%(D' =A@BB%BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =-g6B fade*<3<*0D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*0D-' =+4 8?hCB#ppt_y+1BCB#ppt_y-.03B*Y3>B ppt_y<*0)?DI' d=+4 8?dCB#ppt_y-.03BCB#ppt_yB*Y3>B ppt_y<*0%()?+8+0+00 + o 0L0 4(  4 4 c $</ ( `}<$ 0  /  4 c $</( `<$D  0 / H 4 0޽h ? f;v3ff  ___PPT10b .c@E+6wD ' /= @B D ' = @BA?%,( < +O%,( < +Dn' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*4g%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*4gD' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*4gDn' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*4g%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*4gD' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*4gD' =%(D' =%(DT' =A@BBB B0B%(D' =1:Bvisible*o3>+B#style.visibility<*4%(D' =-6B'blinds(horizontal)*<3<*4+8+0+40 +~ o 0L0 8(  8 8 c $$/ ( `}<$ 0  /  8 c $4/( `<$D 0 / H 8 0޽h ? f;v3ff___PPT10.d(+h$XD'  /= @B DE' = @BA?%,( < +O%,( < +D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*8%(D' =-u6Bdiamond(in)*<3<*8Dz' =%(D"' =%(D' =4@BB%BB%(D' =1:Bvisible*o3>+B#style.visibility<*8 %(D' =-g6B fade*<3<*8 D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*8 D-' =+4 8?hCB#ppt_y+1BCB#ppt_y-.03B*Y3>B ppt_y<*8 )?DI' d=+4 8?dCB#ppt_y-.03BCB#ppt_yB*Y3>B ppt_y<*8 %()?Dz' =%(D"' =%(D' =4@BB%BB%(D' =1:Bvisible*o3>+B#style.visibility<*8 %(D' =-g6B fade*<3<*8 D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*8 D-' =+4 8?hCB#ppt_y+1BCB#ppt_y-.03B*Y3>B ppt_y<*8 )?DI' d=+4 8?dCB#ppt_y-.03BCB#ppt_yB*Y3>B ppt_y<*8 %()?Dz' =%(D"' =%(D' =4@BB%BB%(D' =1:Bvisible*o3>+B#style.visibility<*8%(D' =-g6B fade*<3<*8D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*8D-' =+4 8?hCB#ppt_y+1BCB#ppt_y-.03B*Y3>B ppt_y<*8)?DI' d=+4 8?dCB#ppt_y-.03BCB#ppt_yB*Y3>B ppt_y<*8%()?+8+0+80 + o 0L0 <(  < < c $T4/ ( `}<$ 0  /  < c $/= @B DO' = @BA?%,( < +O%,( < +D ' =%(D9 ' =%(D' =A@BB&BB0B@HB%()?D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =1:B -45.0*k3>'Bstyle.rotation<*<%(DS' =+4 8?lCB4BCB4BBCBB*k3>'Bstyle.rotation<*<%(Dm' =+4 8?CB#ppt_y-1BCBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)B*Y3>B ppt_y<*<%(D' =+[4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCBY#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)-#ppt_h/2B*Y3>B ppt_y<*<%())?)?Di' =+4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCB#ppt_yB*Y3>B ppt_y<*<%(`D ' =%(D ' =%(D9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-u6Bdiamond(in)*<3<*<D9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*<2%(D' =-u6Bdiamond(in)*<3<*<2D9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*<2b%(D' =-u6Bdiamond(in)*<3<*<2bD9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*<b%(D' =-u6Bdiamond(in)*<3<*<bD9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-u6Bdiamond(in)*<3<*<+8+0+<0 + o 0 0(  0 0 S D/ ( `}<$  0  /  0 S M/( `<$D 0 / "p`PpH 0 0޽h ? 3z___PPT10Z.e'+}8D' (= @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D>' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =-m6Bbox(in)*<3<*0D' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0 %(D' =-6B'blinds(horizontal)*<3<*0 D' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0 +%(D' =-6B'blinds(horizontal)*<3<*0 +D' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0+>%(D' =-6B'blinds(horizontal)*<3<*0+>D' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0>Y%(D' =-6B'blinds(horizontal)*<3<*0>YD' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0Yt%(D' =-6B'blinds(horizontal)*<3<*0YtD' =%(D' =%(DG' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*0t%(D' =-6B'blinds(horizontal)*<3<*0t+8+0+00 +o o 0L0 @(  @ @ c $]/ ( `}<$ 0  /  @ c $f/( `<$D 0 / "p`PpH @ 0޽h ? f;v3ff___PPT10.dPN3+ De' h/= @B D ' = @BA?%,( < +O%,( < +D?' =%(D' =%(D' =A@BB)BB0B@ A%(D' =1:Bvisible*o3>+B#style.visibility<*@%(DE' =+ 4 8?CB#ppt_xBCB#ppt_x+.1BCB#ppt_xB*Y3>B ppt_x<*@D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*@DM' =+4 8?CB#ppt_h/10BCB#ppt_h+.01BCB#ppt_hB*Y3>B ppt_h<*@DM' =+4 8?CB#ppt_w/10BCB#ppt_w+.01BCB#ppt_wB*Y3>B ppt_w<*@D' =+B#0,0; .5, 1; 1, 1-g6B fade*<3<*@D ' =%(D, ' =%(D' =4@BB&BB@HB%()?D' =1:Bvisible*o3>+B#style.visibility<*@J%(D' =1:B -45.0*k3>'Bstyle.rotation<*@J%(DS' =+4 8?lCB4BCB4BBCBB*k3>'Bstyle.rotation<*@J%(Dm' =+4 8?CB#ppt_y-1BCBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)B*Y3>B ppt_y<*@J%(D' =+[4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCBY#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)-#ppt_h/2B*Y3>B ppt_y<*@J%())?)?Di' =+4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCB#ppt_yB*Y3>B ppt_y<*@J%(`D ' =%(D, ' =%(D' =4@BB&BB@HB%()?D' =1:Bvisible*o3>+B#style.visibility<*@Ju%(D' =1:B -45.0*k3>'Bstyle.rotation<*@Ju%(DS' =+4 8?lCB4BCB4BBCBB*k3>'Bstyle.rotation<*@Ju%(Dm' =+4 8?CB#ppt_y-1BCBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)B*Y3>B ppt_y<*@Ju%(D' =+[4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCBY#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)-#ppt_h/2B*Y3>B ppt_y<*@Ju%())?)?Di' =+4 8?CBG#ppt_y-(0.354*#ppt_w-0.172*#ppt_h)BCB#ppt_yB*Y3>B ppt_y<*@Ju%(`+8+0+@0 +r4UW`qE7F 1Oh+'0T hp   yyStream. 8Microsoft Office PowerPoint@&l @c@SXGGSg  )'    """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___wwwff4'A x(xKʦ """)))UUUMMMBBB999|PP3f3333f333ff3fffff3f3f̙f3333f3333333333f3333333f3f33ff3f3f3f3333f3333333f3̙33333f333ff3ffffff3f33f3ff3f3f3ffff3fffffffff3fffffff3f̙ffff3ff333f3ff33fff33f3ff̙3f3f3333f333ff3fffff̙̙3̙f̙̙̙3f̙3f3f3333f333ff3fffff3f3f̙3ffffffffff!___www___e_e____eee_e_e_e_eeee_e_e__e_e_e_e_e_eeee_ee__e_e_eeeeee_e_e_ee___e_eeeeeeeee_ee_e_e_e_eeeeee_e_eee___eeee_ee_eee_e_eeee_e_eee_ee__ee_e_e_eeeee_e_eeee___e_e_e__eeeeee__ee_e____________________e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeee_e__e__e_e____e__e__e__e__e__e__e__e__e__e__e__e__e__e_e_e_e_e_eee___ee_e_e_e_e_e_e_e_e_e_e_e_e__e_ee_ee_e___e_e_e_e_e_e__e_e_e_e_e_e_e_e_eeeeeeeeeeeeeee_e_e_e_e_e_e_e_ee_e_e_e__e_e_e_e__e_e__ee_eeee_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee___e___e___e___e__e___e__e___e_e____e___e___e___e______e___e___e___eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e__e_e_ee_e_e_e_e_e_e_ee_e_e_e_e_e_e__eee_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e__e__e__e__e__e__e__e__e__e__e_e__e__e__e__e__e__e__e__e__e_e__e__e__e__e__e__e_e____e_e__e__e__e__e__e__e__e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eee_e_e__e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e___e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_ee_eee_eee_eee_eee_eee_eee_eee_eee_eeee_eeeeee_ee_ee_eee_eee_eee_eee_eee_eee_ee_e_eee_eee_eee_eee_eee_ee_eeee_eee_eee_eee_eee_eee_eee_eee_eee_ee_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e___e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e__e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_e_eeee_eee_eee_eee_eee_eee_eee_eee_eee_eeeee_eee__eeeee_eee_eee_eee_eee_eee_eee_eeeee_eee_eee_eee_eee_eee_ee_ee_eee_eee_eee_eee_eee_eee_eee_eee_eee_?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwyz{|}~Root EntrydO)Current UserSummaryInformation(xTPowerPoint Document(DocumentSummaryInformation8