Test 7 Surgical Specimens Flashcards

1
Q

What are examples of surgical specimens?

A

Hardware, tissues, fluid, and anything removed from a patient.

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2
Q

CST responsibilities with the specimens are?

A

Accurate labeling
appropriate handling
Convey info to circulator: like type of test and any other information
safely store specimen until ready to send out
Ensure sent to lab

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3
Q

What are consequences of improper handling?

A

Misdiagnosis
More surgeries
Negligence- unintentional tort

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4
Q

What is the pathology department?

A

“the lab”
perform various tests
provide diagnostic info to medical team

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5
Q

What is a biopsy?

A

Bx
Procedure performed to collect a fluid or tissue sample from the patient

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6
Q

What is histology?

A

Tissue samples sent to pathology

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7
Q

What is cytology?

A

fluid samples sent to pathology

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8
Q

What are gram stains?

A

staining of bacteria samples to determine characteristics of infection, provides quick initial insight into the appropriate course of antibiotic treatment (broad spectrum)

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9
Q

What is culture and sensitivity testing?

A

Slower test that identifies species of bacteria and what antibiotic may be most effective (specificity)

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10
Q

What is a “gross” test?

A

ID purpose only
No diagnostic tests
ex. send bone to the lab and the lab says “Yes that’s a bone”

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11
Q

What is a “permanent section” test?

A

Specimen goes through various diagnostic tests
results in hours to days
may be placed in saline or formalin to preserve specimen

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12
Q

What is a “frozen section” test?

A
  • specimen sent as soon as removed
    -results in 10-20 minutes
    -time sensitive
    -ALWAYS sent dry
    -freezes and slices specimen-intraoperative treatments
    ex. cancer
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13
Q

What 3 devices do we use to obtain specimens?

A

Needle biopsies
-core of tissue
Washings
-saline and lukens tube
Brush biopsies
-brush to scrape and collect cells

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14
Q

What is centesis?
How many types of centesis are there?

A

-removal of fluid from a body cavity
-4

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15
Q

What is paracentesis?

A

Removal of ascites (fluid) from the peritoneal cavity

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16
Q

What is thoracocentesis?

A

removal of fluid from the thoracic cavity

17
Q

What is aminocentesis?

A

removal of fluid from the amniotic sac

18
Q

What is pericardiocentesis?

A

removal of fluid from the sac surrounding the heart

19
Q

What is a lumbar puncture?

A

spinal tap
needle inserted between L3 and L4 to collect CSF for analysis

20
Q

Explain incisional bx and excisional bx

A

Incisional bx- (into mass) part of tumor, mass, or lesion removed

Excisional bx- (all of mass) entirety of mass removed

21
Q

Labeling of specimens

A

-Exactly what dr states
-At least 2 patient identifiers on label
-place label on container not the lid
-special notes likes orientation of mass

22
Q

What is formalin?

A

preservative
toxic/ carcinogenic
hospital policies defer

23
Q

What is saline used for?

A

prevent specimen from dehydrating
use Tefla for small pieces

24
Q

Some examples of specimens sent dry are?

A

frozen sections
renal/ureteral calculi (stones)
foreign objects/hardware
breast tissue
specimens too large for a container
culture swabs

25
Q

Special considerations for Gynecology specimens are?

A

Cord blood- collect before placenta removed
-Embryo/fetus Label as product of conception
-placenta- sent if complications or abnormalities

26
Q

Special considerations for Orthopedic/neuro specimens

A

muscle biopsy- no ESU, sent on Tefla, kept on ice
Hardware sent dry
Skull flap sent to tissue bank

27
Q

Special considerations for General and GU

A

Breast- sent dry, within 1 hr, Hormone receptor array (HRA determines estrogen dependence)
Urinary calculi (stones) sent dry