TV4001 - Clinical Pathology, blood smear

Descrição

Veterinary Medicine (Small animal veterinary medicine) FlashCards sobre TV4001 - Clinical Pathology, blood smear, criado por Alinta Kalns em 21-03-2018.
Alinta Kalns
FlashCards por Alinta Kalns, atualizado more than 1 year ago
Alinta Kalns
Criado por Alinta Kalns mais de 6 anos atrás
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Resumo de Recurso

Questão Responda
What can you use a blood smear for? Platelet clumps + estimated counts Estimating WBC concentration RBC density ID parasites Verify automated results
Which tube + anticoagulant would you use for blood smears? EDTA - compatible with stains - preserves cell morphology Must be filled correctly + used immediately
How would you store both the blood sample and blood smear? Blood sample - refrigerate or store in cooler with ice bricks (wrap in paper towel) Blood smear - in glass slide carriers (NOT in cooler!)
What stains are commonly used for blood smears? Wrights or DIff-Quick stains - Fixative, eosin dye, methylene blue dye
What order do you look at a blood smear in? 10 x smear quality evaluation 100 x platelet count + morphology 10x WBC count 100 x WBC differential count 10 x RBC arrangement 100 x RBC morphology
What do you look for in 10 x quality scan? Assess body, monolayer, and feathered edge - look for platelet clumps, parasites, abnormally large cells, and WBC clumps - Pick optimal monolayer area
How do you calculate platelet count? Count 3-10 fields and find the average/field Multiply the average by 20 <3 platelets/HPF or 30-60 x10^9/L = spontaneous bleeding 10 platelets/HPF minimum for health
Which species is prone to having platelet clumps? Cats
How do you count WBCs? Count average of 3-10 fields Divide average by 4
What are you counting in WBC differential count and how? Neutrophils + BAND neutrophils, eosinophils, basophils, monocytes, lymphocytes Battlement technique
What are reactive lymphocytes? Active - increased immunoglobulin
Describe eosinophils from different species Horse - mulberry look Cat - rod-shape granules Dog and cow - normal granules
What is the biggest leukocyte in circulation? Monocytes
List species in descending order of having RBC central pallor Dog > cat > ruminants
What is rouleaux, and which species is prone to it? Stacking fo RBCs due to the charges between RBC and plasma macromolecules Horses
What increases rouleaux? Hyperglobulinemia Hyperfibrinogenemia
How can you differentiate rouleaux from agglutination? Immerse in saline (dilute out plasma macromolecules)
What is basophilic stippling and what can it indicate? A normal finding in ruminants, RBCs contain basophilic granules Can be non-specific indicator of regeneration
What is agglutination? Clumping of RBCs due to Ag presentation and antibody bonding - immune mediated haemolytic anaemia
What is anisocytosis and which species is it normal? Variation in RBC size Cattle and cats
What is polychromasia and what is it indicative of? Increased basophilia of a cell due to higher nuclear/protein content Indicative of regeneration - Polychromatophils/reticulocytes
What is hypochromasia and what is it indicative of? Increased central pallor and/or paler RBC - Iron deficiency
What are microcytes indicative of? Iron deficiency (haemoglobin deficiency) Porto-systemic shunts
What are macrocytes indicative of? Regeneration Neoplasia Artifact - overheated sample
What is the term for abnormally shaped RBCs? Poikilocytes
What are specific indicators of regeneration? Polychromatophils/reticulocytes
What are non-specific indicators of regeneration? Anisocytosis Basophilic stippling Metarubricytes
How do you calculate the absolute reticulocyte count? Reticulocyte count = no. reticulocytes/1000 RBCs Absolute count = reticulocyte count x [RBC] x 1000
What are the aggregate reticulocyte serum levels in dogs and cats that indicate regeneration? >60-80 x 10^9/L dogs >50 x 10^9/L cats
Differentiate aggregate from punctate reticulocytes Aggregate are early-stage reticulocytes and have more reticulant in them; punctate are more mature reticulocytes Punctate seen in cats with mild or chronic anaemia
What can punctate reticulocytes be confused for? Mature RBCs, Heinz bodies (oxidative damage), Mycoplasma infection

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