Various Sampling Flashcards

1
Q

How do you evaluate for ear mites?

A

Look like coffee grounds. Slide with mineral oil, get chunk of sample, and mix with oil. Evaluate at 40-100x

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2
Q

what is dermatophytes and how do you evaluate for dermatophytes?

A

Ringworm (fungus). Put hair sample in Dermatophytes test medium (DTM) and culture. Visual exam (circular, crusty lesions)

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3
Q

What are woods lamp used for?

A

Dermatophytes. Allow to warm up for 5 minutes and shine over hair in dark room. Should be clear, apple green

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4
Q

What colour should dermatophytes shine under woods lamp?

A

Apple green

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5
Q

How do you perform a DTM test?

A

Pull hair from around lesion with forceps and push sample partially below medium. Growth by day 5-7

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6
Q

What can you use swabs for regarding sampling?

A

Fistulas, vaginal collections, surgery sites. When you can’t use scrapings or aspirates. Moisten swab before collecting sample, then gently rub across slide to evaluate

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7
Q

Is heat fixing necessary for ear swabs?

A

No - depends on your clinic

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8
Q

What are the downsides to heat fixing?

A

Excessive heat can damage cells

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9
Q

T/F it is only considered a sterile collection if done at a sterile surgical site

A

True. Vaginal cytologies not sterile

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10
Q

How do you perform an impression smear?

A

Take slide and put directly on external tissue. Can also use tissue removed from necropsy or surgery

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11
Q

What are the downsides to an impression smear?

A

Few cells collected, large amounts of contamination, only reflect a secondary bacterial inflammation, can hinder neoplasia diagnosis

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12
Q

What is the Tzank method for imprints?

A

Take original sample, clean and debride wound and take another impression. Usually 3 slides of each made

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13
Q

What can you use a fine needle biopsy for?

A

Collection from masses, lymph nodes, nodular lesions, internal organs.

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14
Q

How do you prepare a site for fine needle biopsy?

A

Surgical preparation if using for microbiology testing or body cavity (peritoneal, thoracic, joints). If not, alcohol prep similar to vaccination
Shave area

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15
Q

What needle should you use for FNB?

A

Ideally 25G. Larger can get tissue stuck and block the needle. Larger than 21G can cause blood contamination. Smaller the mass = smaller the syringe and needle

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16
Q

What are the two types of fine needle collection?

A

Aspiration and non-aspiration

17
Q

How do you perform an aspiration?

A

Hold mass firmly to aid in control of the direction of the needs. Needle with syringe attached in introduced to celter of the mass, draw back plunger until ~3/4 back.

18
Q

Who typically preforms tissue biopsy?

19
Q

What should you be careful of when prepping for a tissue biopsy?

A

If sample needs to be skin & underneath, have to be careful when clipping fur to ensure you don’t cause inflammation & false results

20
Q

What is important when sending out a tissue biopsy

A

Abnormal tissue, transitional zone, normal tissue. To compare normal to abnormal

21
Q

How do you perform a punch biopsy

A

Aseptic prep with local anesthesia (if large area). Place biopsy and spin one direction until you have sample. Pull straight up

22
Q

What is centesis?

A

Introduction of a needle into a body cavity to collect fluid

23
Q

How do you preform a centesis?

A

Aseptic prep. Prepare smears quickly and save portion in EDTA. 21G needle with 60ml syringe. Reocrd total volume collected & gross examination (color & turbidity).

24
Q

What can effect turbidity of centesis fluid?

A

Protein concentration & cell numbers. Inflammation, peripheral blood contamination

25
Q

How do you perform a tracheal wash?

A

Passage of catheter through endotracheal tube in anesthetized patient. Can also be done through nasal passage or skin on trachea.

26
Q

What is important for tracheal washes?

A

Know how much fluid you put in and make sure you pull AT LEAST that amount back out

27
Q

When should fluid smears be prepared?

A

Immediately after collection

28
Q

What is a compression smear?

A

Sample on one slide, place other slide on top and pull apart to create smear on each slide.

29
Q

Which sample is ideal for viscous samples?

A

Starfish smear

30
Q

What is a line smear?

A

Similar to blood smear, but pull straight up at the end to create concentrated line of cells.

31
Q

What is a wedge smear?

A

What is used for blood smear. Feathered edge

33
Q

How can you do external parasite evaluation?

A

Flea combs - will pick up adult fleas, eggs, and/or flea dirt