Clinical Pathology Flashcards
Problems with a slow bleed
Platelet clumping
Coagulation
Patient stress
Low BP can lead to a slow bleed
Problems with a fast bleed/ high suction
Haemoloysis (cell distortion)
Possible vein collapse
Possible pain
Serum is derived from?
Clotted blood
How is a sample mixed?
Inverted
Microscope powers
10x
40x
100x
1000x
FNA
Fine needle aspirate
Cytology slide
Patient ID
Exact site
Date
Are all slides stained inhouse ?
No
Cell layer thickness cytology slide:
Thin
How many 1 sec dips in diff quik
5
Label parts of sample after 30 mins
- plain tube
- EDTA tube
Plain tube: serum & clotted RBC
EDTA: plasma, buffy coat (WBC, platelets), red cells
What is found in plasma but is not found in serum?
Fibrinogen
Microscopic fibre formed when blood clots:
Fibrin
Why do we separate blood from clot for long term storage ?
To prevent chemicals leaching out of old and damaged cells
Prac methods of separating serum from clot:
Using pipette to siphon off serum
Serum separator tube (SST)
Most versatile anticoagulant
Heparin
Best anticoagulant for blood smears in mammals
EDTA
Use of citrate (blue) and flox (grey) tubes:
Citrate (blue): coag studies
Flox (grey): delayed glucose testing
What happens if serum is centrifuged before clot retraction occurs?
Serum will become a solid fibrinous gel because platelets are spun out before they have contracted fibrin in clot
Where should a sample be left for clotting ?
Room temp for 30mins
SST
- inverted?
- storage?
- centrifuged?
- sample?
Inverted 5 times
Left at room temp to clot
Spun down after 30 mins
Serum poured off within 60 mins
Which blood cells are responsible for clot retraction/ contraction?
Platelets (thrombocytes)
Why is it best to fast an animal before collecting blood?
Lipemia
Parts of blood smear
RBC (erythrocytes)
Platelets (thrombocytes)
Microhaematocrit tube
Plasma
Buffy coat (WBC, platelets)
Red cells
Anaemic dog and cat PCV
Dog <37%
Cat <30%
Healthy dog and cat PCV
Dog 45%
Cat 35%
Healthy dog TPP
70g/l
Read meniscus at ?
Bottom
Tests to diagnose dehydration
PCV and TPP
What is an enzyme?
A biological catalyst that speeds up a chemical reaction
Storing blood for biochem
- within 30mins
- 30 mins to 48hrs
Within 30mins : room temp (20 degrees)
30 mins- 48hrs : fridge temp (4 degrees)
2 enzymes assayed for
- liver injury
- liver function
- pancreatic injury
- kidney function
- liver injury: ALT, ALP
- liver function: bike acids, ammonia, bilirubin
- pancreatic injury: amalyse, lipase
- kidney function: urea, creatinine
Pigmented liver metabolite responsible for jaundice?
Bilirubin
What do antigens do?
Detect infection and previous exposure
What are antibodies?
When can they be detected?
How long can they remain in body?
Antibodies are formed as an immune response to fight infection, each antibody is designed to fit an antigen specifically like a lock and key.
2-3 weeks after start of infection
Up to years or months
When should URINE sample be refrigerated?
If not used within 30mins
Changes that occurs to URINE with age
pH rises
Glucose levels fall
Bacteria proliferate
Renal tubular casts break up
Possible colour and turbidity changes
Why do we note collection method ?
To indicate expected blood and bacteria contamination levels
When can we dipstick a refrigerated sample?
At room temp
Why is a dipstick held horizontally?
So results aren’t altered by cross contamination of other pads
Dessication gels purpose
Absorbs the moisture in the container
Do we refrigerate dipsticks
No
Non haemolysed blood on a urine dipstick indicates what? And is indicated how?
Indicated by red spots and indicated intact RBC
What 2 results are considered inaccurate on human dipsticks in vet medicine?
Urine specific gravity and leukocytes
What does red urine indicate?
Presence of haemoglobin ????
Flea droppings affect which 2 tests on a urine dipstick?
Blood and protein
Should be pH always be recorded ?
Yes
Advantage and disadvantage of cystocentesis
Advantage: sterility, less contamination
Disadvantage: invasive, stress, blood from needle?
Turbidity is?
Cloudiness
Flocculent is
Floating particles
Gross characteristics of URINE
Colour
Smell
Volume
Alternative names for “coffin lid” crystals
Struvite
Triple phosphate
Magnesium ammonium phosphate
Zoonotic disease from dog urine
Leptospirosis
Parasitic eggs found in dog faeces harmful to humans
Hydatid tapeworm
How much poo for faecal float?
1mL
How long is faecal sample left for
10-20mins
What can you use to cover faecal float
Microscope slide or coverslip
Adult dog faecal floatation with mucoid blood flecked diarrhoea?
Whipworm
Stain used to divide bacteria into 2 groups ?
Gram stain
Purpose of bacterial culture
Culture and sensitivity
Ringworm test
Fungassay
Where do we grow this test
On a shelf away from direct sunlight
How should the cap for this test be closed
Partially closed
How often should this test be checked
Daily for up to 2 weeks
A pathogenic fungus is indicated by what?
Colour change in early growth
Deep skin scraping method
Slightly blunt scalpel used to scrape skin, skin is squeezed to push mites out of hair follicle
How many superficial scrapes for scabies
Up to 10
Scalpel blade used should be ?
Slightly blunt
Making skin debris adhere to slide using
Sterile lube
Paraffin oil
Water/ saline
Minimise tissue deterioration of a biopsy before placing in formalin by?
Keeping moist with sterile saline