Htmle Flashcards
Infiltrated with CELLOIDIN then embedded with PARAFFIN
Double embedding:
Flotation waterbath:
45 to 50 C
To remove formalin pigments:
Picric acid
To remove mercurial deposits:
Iodine
Explosive when dry:
Picric acid
Function of alum in hematoxylin:
Mordant
Primary importance alum in of Frozen Sections:
RAPID DIAGNOSIS
Enzyme histochemistry:
Frozen section
Second best choice for routine cytologic examination after Phase contrast microscopy
Papanicolau
NOT SUITABLE for kidney structures:
Bouin’s
should never contain osmic acid/osmium tetroxide because it inhibits hematoxylin
Microanatomical fixatives
should contain glacial acetic acid due to its affinity for nuclear chromatin.
Nuclear fixatives
They should never contain Glacial Acetic Acid because it destroys the mitochondria and Golgi bodies.
Cytoplasmic fixatives
‘HORFF’
(Flemming’s without HAc, Regaud’s, Orth’s, Helly’s and formalin with post-chroming).
Manual paraffin wax infiltration and embedding: At least ____________________________ to ensure complete removal of the clearing agent from tissue. The specimen is then immersed in another fresh solution of melted paraffin for approximately 3 hours to ensure complete embedding or casting of tissue.
(4) changes of wax are required at 15 minutes interval
Cambridge/Rocking microtome: invented by
Paldwell Treffall
Bond between Best carmine and glycogen
Coulombic attraction/electrostatic bonds
hydrogen bonds,
Regressive staining, it involves a differentiation step
Routine H and E
Stains for the glomerular basement membrane:
PAS, Azocarmine stain
immediately after death, rubbery consistency
Postmortem clotting
friable, characterized by fibrin precipitation
Antemortem thrombi
Leadership:
DIRECTING
Embedding medium for EM is
Plastic
Pap’s consists of 3 stains:
Harris hematoxylin
OG 6
EA
was attached to tumor the Department of Labor and Employment pursuant to Executive Order No. 565.
Executive Order No. 565-A was issued, delegating the Presidential power of control over the PRC to the DOLE Secretary
PRC
ALCOHOL FIXATIVE CONCENTRATIONS; because less concentrated solutions will produce lysis of cells.
70% to 100%
are commonly used fixatives for nucleic acids
Ethanol
methanol
Carnoy’s solution
: physical agent similar in mechanism to vacuum oven (heat) and agitation to increase movement of molecules and accelerate fixation. It is also used to accelerate staining, decalcification, immunohistochemistry microscopy.
MICROWAVE
LAST ALCOHOL BATH FOR DEHYDRATION SHOULD BE ______________. A of blue discoloration of _____________ crystals will indicate FULL SATURATION WITH WATER. Alcohol is then discarded and changed with fresh solution.
PURE ETHANOL; COPPER SULFATE
contains bundles of very long, multinucleated cells with crossstriations. Their contraction is quick, forceful, and usually under voluntary control. STRIATED, VOLUNTARY
Skeletal muscle
also has crossstriations and is composed of elongated, often branched cells bound to one another at structures called intercalated discs that are unique to it. Contraction is involuntary, vigorous, and rhythmic. STRIATED, INVOLUNTARY
Cardiac muscle
consists of collections of fusiform cells that lack striations and have slow, involuntary contractions. NONSTRIATED, INVOLUNTARY
Smooth muscle
Three (3) major changes that are observed in the NUCLEUS:
PYKNOSIS
KARYORRHEXIS (segmentation and fragmentation) KARYOLYSIS (dissolution of the nucleus)
Four (4) phases or stages of CELL DEGENERATION:
CLOUDY SWELLING
FATTY DEGENERATION
CELL DEATH OR NECROSIS
CALCIFICATION.
is performed by a physician and may be obtained by:
• Needle biopsy: most frequently performed method
• Surgical biopsy
• Percutaneous (entering through the skin) TREPINE (small object used to remove circular section of tissue) biopsy (core of bone with accompanying marrow is obtained)
BM aspiration
Carbohydrate fixation:
ALCOHOLIC FIXATIVES
NEUTRAL BUFFERED FORMALDEHYDE OR FORMALDEHYDE VAPOR
Protein fixation
ALCOHOL BASED such as Rossman’s fluid or cold absolute alcohol
Glycogen fixation
: fixative of choice for TISSUE PHOTOGRAPHY
MERCURIC CHLORIDE
LIVER, SPLEEN, CONNECTIVE TISSUE FIBERS and NUCLEI
Zenker’s fluid
PITUITARY GLAND, BM, BLOOD-CONTAINING ORGANS SUCH AS SPLEEN AND LIVER
Zenker’s-formol (Helly’s)
TUMOR BIOPSIES ESPECIALLY SKIN
Heidenhain’s susa solution
CHROMATIN, MITOTIC FIGURES, GOLGI BODIES, RBC and colloid containing tissues
Regaud’s (Moller’s/Muller’s) fluid
study of degenerative process and early tissue necrosis, demonstrates rickettsia and other bacteria
Orth’s fluid
ACID MUCOPOLYSACCHARIDES
LEAD FIXATIVES
fixation of embryos and pituitary biopsies
BOUIN’S
Bouin’s is NOT SUITABLE FOR FIXING _________ structures, lipid and mucus
KIDNEY
Glacial acetic acid solidifies at
17C.
CHROMOSOMES, LYMPH GLAND and URGENT BIOPSIES
Carnoy’s fluid
fixing of mucopolysaccharides and nuclear proteins
Newcomer’s fluid
most common and fastest decalcifying agent
NITRIC ACID
decalcifies and softens tissues at the same time
PERENYI’S FLUID
most ideal, most ideal, most sensitive for determining extent of decalcification
X-ray or radiological method
Embedding medium for electron microscopy:
EPON (PLASTIC MEDIUM)
Manual H and E staining:
REGRESSIVE STAINING
Flotation water bath: 45 to 50C, approximately
6-10C lower than the mp of the wax
: vegetable dye extracted from LICHENS
ORCEIN
: probably the oldest of all stains
IODINE
demonstrating MITOCHONDRIA
JANUS GREEN
Stain for Helicobacter pylori
TOLUIDINE BLUE
CRESYL VIOLET ACETATE
- increase in size of an organ due to an increase in size of individual cells
Hypertrophy
- increase in size of an organ due to increase in number of cells RETROGRESSIVE CHANGES
Hyperplasia
- failure of an organ to reach mature size
Hypoplasia
- organ is represented only by mass of fatty or fibrous nodule
Aplasia
- ACQUIRED decrease in size of a normally sized organ
DEGENERATIVE CHANGES
Atrophy
- change in size, shape and orientation of cell
Dysplasia
- change from one adult cell type to another
Metaplasia
-change to a more primitive or embryonic cell type
Anaplasia or Dedifferentiation
- continuous abnormal proliferation of cells MALIGNANT TUMOR
Neoplasia or Tumor
Most rapid of the common freezing agents:
LIQUID NITROGEN
General purpose fixative:
10% neutral buffered formalin
Neutral buffered formol saline or formaldehyde vapor
Protein fixation
Fixatives for nucleic acids:
Ethanol, methanol and Carnoy’s solution
Amount of fixative used has been 10 to 25 times the volume of tissue to be fixed. Recently, the maximum effectiveness of fixation is noted to be _______ the tissue volume
20 times
Recommended ratio of fluid to tissue volume for DECALCIFICATION is
20 to 1
Amount of dehydrating agent should not be ______________the volume of tissue
less than 10 times
: Low grade to high grade alcohol
Dehydration
Absence of water:
WHITE anhydrous copper sulfate
Presence of water:
BLUE anhydrous copper sulfate
Clearing aka
Dealcoholization
Automated tissue processor:
Fix, dehydrate, clear, and infiltrate
Histochemical demonstration of ENZYMES
FROZEN SECTION
is the most commonly used fluorochrome to demonstrate DNA and RNA in fresh or fixed tissues.
ACRIDINE ORANGE
Calcium salts = black
Von Kossa’s silver method
Red chromogen for peroxidases:
Aminoethylcarbazole (AEC)
Brown chromogen for peroxidases:
Diaminobenzidine (DAB)
Administrative investigation:
2 members of board + 1 legal officer
Policies and guidelines for Med Tech Education:
CMO no. 14 s. 2006
Accreditation of clinical lab for training MT interns:
CMO no. 6 s. 2008
All fixatives can be used except those that contain osmic acid. Osmic acid (like Flemming’s) inhibits hematoxylin
Fixatives for H & E
Primary/Basic/Nuclear stain
Harris hematoxylin
Secondary/Counterstain/Acid/Cytoplasmic stain
Eosin
stains the nucleus
Harris hematoxylin
stains the cytoplasm of mature cells (superficial cells)
OG 6
stains the cytoplasm of immature cells (parabasal, intermediate cells)
EA 36/50/65:
FIRST PRESIDENT: “Emergence of the Profession” (1963-1967)
Charlemagne T. Tamondong
“Professional Recognition” (1967-1970)
Nardito D. Moraleta
“Legislative Agenda” (1970-1971, 1973-1976)
Felix E. Asprer
“Legislative Agenda” (1970-1971, 1973-1976)
Felix E. Asprer
“Celebration of the Practice” (1971-1973)
Bernardo T. Tabaosares
“Career Advocacy” (1973)
Angelina R. Jose
(Venerable OCA) “Educational Enhancement” (1977-1981)
Venerable C.V. Chua
“Image Building” (1982-1991)
Carmencita P. Acedera
“Beyond Expectations” (2007-2012)
Leila M. Florento
FATHER OF PAMET:
CRISANTO ALMARIO
PAMET was originally organized on
SEPTEMBER 15, 1963
PAMET HYMN Music:
Francis Jerota Pefanco
PAMET HYMN Lyrics:
Hector Gentapanan Gayares, Jr.
Current PAMET President:
Ma’am Luella Vertucio
Current PASMETH President:
Dean Jose Jurel Nuevo
Board of MT Head:
Dr. Marilyn Barza
Board of MT Head:
Dr. Marilyn Barza
Board of MT Member:
Ma’am Leila Lani Florento
PRC CHAIRPERSON:
Atty. Charito Zamora
DOH SECRETARY
Dr. Teodoro Herbosa