Pathology Flashcards
What drug can cause Gray Baby Syndrome and aplastic anemia?
Chloramphenicol
Surgical connection between two structures
Anastomosis
Bevel angle
27-32 degrees
Record of BB donor/recipient records
Indefinitely
Surgical pathology reports
10 yrs
Cytogenetic reports
20 yrs
Cytogenetics diagnostic images record
20 yrs
Surgical Pathology and Cytology
Releasing of Results
Within 24 hrs
Frozen Section
Releasing of results
5-15 minutes
Autopsy Report
Releasing of Results
1 week
Copies of Report
1 Doctor
1 Patient
1 File
Processing of Tissues
FDDCIETSSML (11 steps)
F Fixation D Decalcification D Dehydration C Clearing / Dealcoholization I Impregnation/ Infiltration E Embedding / Casting / Blocking T Trimming S Sectioning/ Microtomy S Staining M Mounting L Labeling
Primary purpose of Fixation
Preserve the morphological and chemical integrity of the cell
Secondary purpose of fixation
Harden and protect the tissue
Most important reaction of fixation
Stabilization of proteins by cross linking
Electron Microscopy Temperature
0-4 deg Celsius
Speed of fixation
1 mm per hr
Volume
10-20:1
Reference Lab of Histopath
National Kidney Transplant Institute (NKTI)
8 examples of Microanatomical Fixatives
- 10% NBF
- 10% Formol Saline
- Formol Sublimate
- Zenker’s Formol
- Zenker’s
- Heidenhein’s Susa
- Bouin’s
- Brasil’s
Nuclear Fixative char.
And examples
(+) glacial acetic acid <4.6 pH 20-22 deg Celsius BeNCH Fix B - Bouin’s N - Newcomer’s C - Carnoy’s Fluid H - Heidenhein’s
Fix - Flemming’s
Cytoplasmic Fixative char
And examples
pH >4.6
(-) glacial HAc
ROHFFour R - Regaud’s O - Orth’s H - Helly’a F - Flemming’s w/o HAc Four - Formalin with Post Chromatization
Alcoholic formalin (Gendre’s) purpose
Mucus containing specimen
Another name for Heidenhain’s Susa
Acid Mercuric Chloride
Another name for Regaud’s Fluid And purpose
Muller’s
-chromatin, mitochondria, golgi bodies, colloid containing tissue (thyroid)
Metallic fixatives (3 classes)
Mercuric Chloride
Chromate Fixative
Lead Fixative
Mercuric Chloride Fixatives (7)
Zenker’s Fluid Zenker’s Formol (Helly’s) Heidenhain’s Susa B-5 Fixative Ohlmacher’s Fluid Schaudinn’s Fluid Carnoy-Lebrum solution
Chromate Fixative (4)
Chromic acid
Potassium dichromate
Regaud’s fluid (Muller’s)
Orth’s fluid
How to remove Picric Acid yellow color
And 2 examples
70% ethanol + 5% sodium thiosulfate
Bouin’s solution
Brasil’s Alcoholic Picroformol
At what temperature does Glacial Acetic Acid solidify
17 deg celsius
Alcohol Fixatives (6)
Methanol Isopropyl Alcohol Ethanol Carnoy’s fluid Newcomer’s fluid Alcoholic formalin
Osmium tetroxide / Osmic Acid
Char and examples
Inhibits hematoxylin
Causes conjunctivitis or blindness
Kept in dark colored storage (reduction by sunlight prevention)
Flemming’s with or without HAc
Acetone purpose
For water diffusible enzyme studies and brain studies (e.g. rabies)
Fixatives for Electron Microscopy
Glutaraldehyde Platinic Chloride Platinic Chloride formalin Gold Chloride Osmium tetroxide (osmium tetroxide) 10% NBF
How to remove Chromate pigment
Acid-alcohol
How to remove black precipitate crystals?
Cold water
Hydrochloric Acid example and purpose
Von Ebner’s Fluid - teeth and small pieces of bones
Fixative and Decalcifying Agent
5% Formic Acid
Trichloroacetic Acid
Chromic Acid
Tissue Softeners
4% aqueous phenol
Molliflex
2% HCl
1% HCl in 70% Alcohol
Inaccurate test to measure completeness of decalcification
Physical or Mechanical
Most accurate and reliable but expensive test to measure completeness of decalcification
X-ray
Most commonly used technique to measure completeness of decalcification
Chemical Method (calcium oxalate test)
Ratio of dehydrating agent and tissue
10:1
Plants and animals microtechnique dehydrating agent
Butanol
Another name for cellosolve (dehydrating agent)
Ethylene glycol monoethyl ether
Another name for dioxane (dehydrating agent)
Diethylene dioxide
Both dehydrating and clearing agent
Diethylene dioxide
Tetrahydrofuran
Requirements of a clearing agent
- Miscible with paraffin
- High refraction index
- Makes tissue transparent due to their RFI
Refractive Index (RFI)
1.518
Clearing Agent for double embedding technique
Methyl Benzoate and Salicylate
Clearing Agent for CNS specimen
Cedarwood Oil
Clearing Agent for fine and delicate specimen
Aniline oil
Melting point of paraffin
56 deg Celsius
Temp of paraffin oven
+ 2-5 deg Celsius of 56 deg Celsius
Temp of Flotation or Water Bath
(-) 6-10 deg Celsius of 56 deg Celsius
Another name for Carbowax and char
Water soluble wax - composed of polyethylene glycol (no dehydration and clearing)
Purified nitrocellulose (carbohydrate) impregnating media
Celloidin - for specimen with large hollow cavity
Shape for sectioning
Truncated pyramid or 4-sided prism
Disposable embedding molds (3)
Paper boats
Peel Away
Plastic Ice Trays
Rocking Microtome is also known as
And proponent
Cambridge Microtome
Paldwell Trefall
Rotary Microtome is also known as
Minot
Sliding Microtome proponent and two types
Adams
- base Sledge (moving block holder)
- Standard Sliding (knife moving so dangerous)
Freezing Microtome proponent
Queckett
What microtome
Is used for electron microscopy?
Ultrathin Microtome
Microtome for unfrozen, unfixed specimen for enzyme demonstration?
Vibrotome
Plane concave knife
Measurement
25 mm
Less concave - celloidin (sliding)
More concave - paraffin (rotary and rocking)
Biconcave
Measurement
120 mm
Rotary - paraffin
Plane Wedge Knife
Measurement
100 mm
Both sides are straight (for frozen sections)
Wedge Angle
14-15 deg Celsius
Angle formed between the cutting edge
Bevel Angle (27-32)
Angle formed by the sides of the wedge knives
Wedge Angle (14-15)
Angle formed between the cutting facet presenting to the block and the surface of the block
Clearance Angle (5-15)
Removal of gross nicks
Honing
Direction of Honing
Heel to Toe (Edge first)
Hones that give the Best result
Belgium Yellow
Hones that have more polishing effect
Arkansas
Hones for badly nicked knives
Fine Carborundum
Removal of burr
Stropping
Direction of stropping
Toe to heel (Edge Last)
Purpose of honing
Remove irregularities from the knife
Purpose of stropping
Polish and sharpen the cutting edge
Giving color to the sections using aqueous or alcoholic dye solution
Direct Staining
Action of the dye is intensified by adding another agent (mordant or accentuator)
Indirect staining
Link or bridge between the tissue and the dye
Mordant
Speeds up the staining process
Accentuator
Dyes used has a staining color that is different from that of the stain itself
Metachromatic Stain
Dye with the same color as the stain
Orthochromatic Staining
Staining is done by injecting the dye into any parts of the animal body
Intravital Staining
Ex of Intravital Staining
Lithium
Carmine
India Ink
Stain living cells immediately after removal from living body
Supravital Staining
Ex of Supravital staining
Methylene blue, brilliant cresyl blue
Carmine + aluminum chloride =
Best Carmine
Vegetable dye extracted from lichens normally colorless
-treated with ammonia and exposed to air to produce blue or violet color
Orcein
Another name
For synthetic Dyes
Coal Tar Dyes
Coloring Property
Chromophore
Dyeing Property
Auxochrome