Laboratory Diagnostics Flashcards
What is quality assurance?
The minimization of errors during the preanalytical, analytical, and post analytical time frames in sample testing
What are examples of quality assurance?
- SOPS
- Labeling, communication, and recording
- Appropriate collection devices
What is quality control?
Techniques to test instrumentation, personnel performing tests, and diagnostic testing kits to ensure reliability of results
What are examples of external quality control?
Commercially prepared products to test procedures
What are examples of internal quality control?
Built into instrument or diagnostic equipment
What is calibration?
Techniques to adjust an instrument to improve accuracy of results
When should urinalysis be performed?
Within 20-30 minutes of collection or can refrigerate for up to 12 hours
What do you evaluate with physically of urine?
- Volume
- Color
- Transparency
- Odor
- Specific Gravity
How does color correlate with specific gravity?
Light urine decreased SG
Dark urine increased SG
What does bile in urine look like?
Yellow to green foam
What does hematuria or hemoglobinuria look like?
Red or reddish brown
What does myoglobinuria look like?
Brown
What does rabbit urine look like?
Yellow to cloudy white to orange
What does horse urine look like?
More brown
What is assessed with transparency?
Turbidity
What is turbidity associated with/
Cellular debris
What species have normally cloudy urine?
Horses
Cats
Rabbits, Hamsters, and guinea pigs
Why is specific gravity of urine assessed?
the ability of the renal tubules to concentrate or dilute filtrates from the glomerulus, indicating how well the kidney can concentrate or dilute urine
What is the SG of glomerular filtrate?
The same as plasma
What is Isosthenuria?
1.008-1.012 (same as plasma)
What is hyposthenuria?
Less than 1.008
What is hypersthenuria?
Greater than 1.012
What does low specific gravity mean?
Tubules are not concentrating
What does high specific gravity mean?
Tubules are over concentrating
Describe urine ph
Less than 7 acidic
Greater than 7 Alkaline
What does increased protein in urine mean?
Renal disease
What does increased glucose in urine mean?
Diabetes or excitement
What does increased ketones in urine in large animals mean?
Pregnancy toxemia due to rapid breakdown of fats
What does increased ketones in urine in small animals mean?
Diabetes
What do increased bile pigments in urine indicate?
Biliary obstruction
Hepatic infections
Toxicity
Hemolytic anemia
What blood components would be in urine?
Hematuria
Hemoglobinuria
Myoglobinuria
What does increased leukocytes in urine indicate?
Infection
What does increased urobilinogen mean in urine?
Liver disease
GI disease
Intravascular hemolysis
What does hematuria indicate?
Urinary dz
What does hemoglobinuria indicate?
Intravascular hemolysis
What does myoglobinuria indicate?
Muscle over exertion
How much urine should be collected
at least 5 ml
How to view urine sediment?
Lower condenser and view through coverslip at 10x then 40x
What are the epithelial cells found in urine?
- Squamos
- Transitional
- Renal
Describe squamos epithelial cells
- Flat, irregular shaped with angular borders and small nuclei
- Derived from urethra, vagina, and vulva
- Largest cells
- Not clinically significant
Described transitional epithelial cells
- Variation in size with granular cytoplasm
- Associated with inflammation such as cystitis or from catheterization
Described renal epithelial cells
- Round with large nucleus, slightly larger than wbcs
- Increased with renal tubular disease
What do casts indicate?
Renal tubular damage
Describe hyaline casts?
cylindrical with relatively symmetrical sides and round ends
What is the most common type of cast?
Granular
What do waxy casts indicate?
Chronic to severe renal tubular damage
What are the types of cellular casts?
- Epithelial
- WBC
- RBC
What do epithelial casts indicate?
acute nephritis
What do WBC casts indicate?
inflammation of the tubules
What do RBC casts indicate?
Bleeding into the tubules
Describe struvites
Coffin lids
What causes struvites?
Urease producing bacteria of the lower urinary tract disease
Describe amorphous phosphate and urates
Colorless granular precipitate
What causes phosphate crystals?
alkaline urine
What causes Urate crystals?
acidic urine
Describe ammonium biurate
Round and brownish with long spicules
What causes ammonium biurate crystals?
Liver disease or portocaval shunts
What species commonly has ammonium biurate crystals?
Dalmations
Describe calcium carbonate crystals
Dumbbells with radial striations
What species are calcium carbonate crystals common in?
Horses and rabbits
Describe Calcium oxylate crytals?
Small colorless envelopes
What causes monohydrate calcium oxylate crystals?
ethylene glycol toxicity
What causes dihydrate calcium oxylate crystals?
Can be found in healthy animals
Describe leucine crystals
small and round with sectioned centers
Describe tyrosine crystals
Spiculated and spindle shaped
Describe cystine crystals
Flat and 6 sided
What do leucine, tyrosine, and cystine crystals indicate?
hepatic dz
What is uric acid?
End product of metabolism and oxidation
What species normally produces uric acid?
dalmatians
What does bilirubin crystals in urine indicate?
Common in canine urine
What are the types of cells in hematology?
RBCs WBCs and Platelets
What are the types of WBCs?
- Neutrophils
- Lymphocytes
- Monocytes
- Basophils
- Eosinophils
What WBCs are granulocytes?
neutrophils, basophils, and eosinophils
What WBCs are agranulocytes?
lymphocytes and monocytes
What do neutrophils do?
phagocytize bacteria
What do lymphocytes do?
Immunologic defense
What do monocytes do?
Circulate briefly in the bloodstream before becoming macrophages in the tissues
What do basophils do?
Respond to allergic reactions
What do eosinophils do?
Respond to parasitic infection
What is the development cycle of RBCs?
- Produced in the bone marrow
Rubriblast
Prorubricyte
Rubricyte
Metarubricyte
Reticulocyte
Mautre RBC
What is the development cycle of Granulocytes?
Produced in bone marrow
Progranulocyte
Myelocyte
Metamyelocyte
Band
Mature
What is the development cycle of monocytes?
Produced in bone marrow
Monoblast
Promonocyte
Monocyte
Where are lymphocytes produced?
B cell production in bone marrow in mammals
B cell production in bursa of fabricus in avians
T cell production in thymus
Production in adults occurs in lymphoid tissues
What is the development of lymphocytes?
Lymphoblast
Prolymphocyte
Lymphocyte
TUBES
1. Purple
2. Green
3. Gray
4. Blue
5. Red
6. Yellow
- EDTA
- Heparin
- Sodium Fluoride
- Sodium Citrate
- Serum Separator
- Clot Activator
What are sodium fluoride tubes used for?
Glucose tests
What are sodium citrate tubes used for?
Coagulation studies
How are RBCs evaluated?
- PCV
- Hemoglobin
- RBC Indices
- Reticulocyte Count
- Morphology
What is PCV?
% of RBCs in circulating whole blood
What does decreased PCV indicate?
Anemia or overhydration
What does increased PCV indicate?
Dehydration
What is hemoglobin?
Part of RBCs responsible for carrying O2 and CO2
What is hemoglobin count used for?
Calculating RBC indices
How do you calculate hemoglobin content?
1/3 of PCV
What is MCV?
Mean corpuscular volume
What is macrocytosis?
Increased MCV
What is microcytosis?
Decreased MCV
How do you calculate MCV?
(PCV x10) / RBCs in millions
Measured in femtoliters
What is mean corpuscular hemoglobin?
The hemoglobin volume
What is hypochromasia?
Decreased MCHC
What is hyperchromasia?
Increased MCHC
How do you calculate MCH?
(Hb concentration x 10) / RBCs in millions
Measured in g/dL
What is MCHC
Mean corpuscular hemoglobin concentration
How do you calculate MCHC?
(Hb concentration x 100) / PCV as a whole number
Measured in g/dL
What is reticulocyte count?
% of reticulocytes included in RBC count
What species does not have reticulocytes?
horses
What species has 2 kinds of reticulocytes and what are they?
Cats
Aggregate and punctate
Only punctate is counted
How are leukocytes evaluated?
- Total leukocyte count
- Differentiation
- Morphology
What is used for manual wbc counts?
Neubauer system
What can interfere with WBC counts?
nRBCs
What species have nRBCs in peripheral blood normally?
Birds and reptiles
What is leukocytosis?
Increase in WBC
What is leukopenia?
Decrease in WBC
What is wbc diferentiation?
% of each type of wbc times total wbc count
What are thrombocytes?
anuclear cytoplasmic fragments from bone marrow megakaryocytes in mammals
How are thrombocytes different in non-mammalians?
Nucleated
How are equine thrombocytes different?
they are paler
How do you calculate platelets?
Average number of platelets in 10 HPF x 20,000
What is mean platelet volume?
Provides an average size of platelets
What does rouleaux indicate?
Common in horses but can also be seen in cats, dogs, and pigs
What does agglutination indicate?
IMHA
What causes hypochromasia?
iron deficient anemia
What causes basophilic stippling?
lead poisoning
What causes heinz bodies?
Oxidative damage
Aceteminophen toxicity in cats and dogs
onion toxicity in dogs
What causes Howell Jolly bodies?
Regeneration
What is poikilocytosis?
RBC variation in shape
What causes acanthocytes?
Liver dz but can be normal in young cattle and goats
What causes blister cells?
iron deficiency
What causes crystallized hemoglobin?
Normal in cats, llamas, and puppies
What causes dacryocytes?
bone marrow disorders
What causes drepanocytes?
Invitro in deer, angora goats, and some sheep
What causes eccentrocytes?
dogs ingesting aceteminophen and onions
What causes echinocytes?
Renal dz and rattle snake bites
What causes elliptocytes?
Normal shape for camelids and nonmammalian species
What causes ghost cells?
intravascular hemolysis
What causes leptocytes?
iron deficiency anemia and IMHA
What causes schistocytes?
disseminated intravascular coagulopathy
What causes spherocytes?
Hemolytic anemia
What causes stomatocytes?
Hereditary condition
What causes neutrophilic bands?
Indicate inflammation
What causes pelgar huet anomaly?
False left shift
What causes dohle bodies?
mild toxemia
more common in cats and horses
What causes cytoplasmic basophilia?
Toxicity and reactivity
What cause cytoplasmic vacuolization?
Abnormal lysosomes
What causes reactive lymphocytes?
Antigenic stimulation
What causes kurloff bodies?
Normal in male guinea pigs
What causes plasma cells?
End stage of b lymphocytes
What is total protein?
Combination of various proteins produced by liver
What protein is most abundant in plasma?
Albumin
What is the second most abundant protein in plasma?
Globulins
What is globulin commonly measured in large animals?
Fibrinogen
What causes hyperproteinemia?
Dehydration
inflammation
Reactive neoplasia
multiple myomas
What causes hypoproteinemia?
loss of proteins
What is coagulation?
complex interaction among vessel walls, epithelial cells, platelets, phospholipids, and soluble proteins called coagulation factors
What is the end product of coagulation
Thrombin