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Laboratory Procedures 2
flash cards for lab prob 2 semester 2
122
Other
Undergraduate 1
02/03/2008

Additional Other Flashcards

 


 

Cards

Term

 

 

 

 

 

Testing Humoral Immunity

Serology 

Definition
-the involved with the presence and measurement of antigens or antibodies
-in order to visualize the binding of antigens and antibodies, the reaction must be visible
-kits available containing antibodies for specific organisms that may cause disease
-rapid and accurate tests that can be used in house
-identification of antibody-antigen binding observed through colour change usually
 -ie)FeLV snap test, Heart worm well test
 
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 Enzyme-Linked Immunosorbent Assay

ELISA (Snap test)

Definition
-accuracy is high with monoclonal antibodies
-Tests
 - viruses, bacteria, parasites
 - serum antibodies or hormones
 - Heartworm, FeLV, FIV, parvo, progesterone
 
How it works 
-antibodies bound in walls of well, test pad, etc.
-if antigen present in sample, it will bind to the antibody specific for that antigen
-also binds to a marker to allow for colour change
-sample is rinsed washing away any antibody not bound to antigen - therefore, no colour change is present
-for antibody testing, the wells contain the antigen and the sample is tested for the antibody
 
Term

 

 

 

 

 

Competative Enzyme-Linked Immunosorben Assay

CELISA 

Definition
-used to test patient antigen levels
-wells are coated with the monoclonal antibodies for specific antigen
-enzyme-labelled antigen used in combination with antibodies
-intensity of colour change indicats level of antigen present
 -ie) equine infectious anemia 
Term

 

 

 

 

 

 

Latex Agglutination 

Definition
-test for antibodies
-antigen coated latex beads suspended in water
-if antibody present in sample, binding to antigen
-antibody-antigen complex causes agglutination (clumping) in suspension
 -ie) brucellosis testing in bovine 
Term

 

 

 

 

 

Rapid Immunomigration

 

Definition
RIM (Aka: immunochormatography or lateral flow immunoassay)
 
-colloid gold is joined with antibodies
-any antigens present will bind to conjugated antibodies in the cassette membrane and migrate to results window
-2nd antibody specific to wanted antigen present in reading area which binds to entire complex and causes a colour change
- control antigen present in separate window displaying colour change
 
Term

 

 

 

 

 

Immunodiffusion 

Definition
-used to test whether animal has been exposed to a disease by presence of antibodies in serum
-kit contains antigen to the desired antibody
-both samples are placed on an agar media
-precipitation band forms in positive results (presence of antibodies)
 -ie) equine infectious anemia, Johne's Ds (bovine) 
Term

 

 

 

 

 

Radioimmunoassay 

Definition
-Similar to CELISA
-Enzymes from CELISA replace with radioisotope
-most commonly tested in research or dignostic labs
-antigen is tagged (labelled) with radioisotope and an antibody
-antigens in patient sample compete for antibody, therefore displacing tagged antigen
-radioactivity is measured to determine concentration in patient sample 
Term

 

 

 

 

 

Fluorescent Antibody Testing 

Definition
diagnostic referral labs
usually as second opinion to confirm vet's intitial dx
direct and indirect antibody testing
 
Direct: patient sample added dye conjugated antigen on slide
-microscopically examined for fluorescent cells
 
Indirect: patient sample incubated with test antigen on slide
-slide washed removing non-bound antibody
-fluorescent dye added and slide examined microscopically
 
-also possible to test for antigens using same technique
 
Term

 

 

 

 

 

Coombs Testing 

Definition
used to test auto-immune diseases
test identifies antibodies attacking the body's tissues (ie: erythrocytes)
 
Direct coombs
 - IMHA (immune mediated hemolytic anemia)
 - patient sample incubated with antisera
 - immunoglobulins on RBC surface react with antisera causing RBC agglutination
 
Indirect coombs
 - tests the circulating antibodies against 'self'
 - infected patient serum mixed with normal patient RBCs (same species) causing agglutination
 
Term

 

 

 

 

 

Intradermal Tests 

Definition
-used for allergy testing
-IgE molecules are detected after the patient has been subjected to allergenic extracts from environmental allergens - grasses, molds, dust etc. 
-allergens injected intradermally
-patients monitored closely for anaphylactic reactions and localized reactions indicating positive result
 
Term

 

 

 

 

 

Antibody Titres 

 

Definition
very rare in vet med
 
used to determine exposure of animal to ds with no antigen or antibody test available 
 
dilutions of patient sample measured for antibodies until presence no longer indicated
 
High titre: active infection
 
Low titre: previous exposure to antigen
 
Term

 

 

 

 

 

 

Testing Cell Mediated Immunity 

Definition
much more involved than testing humoral immunity
 
tuberculin skin test
 - purified derivates from tuberculin organism injected intradermally
 - animals infected with Mycobacterium tuberculosis, M. bovis, M. avium develop hypersensitivity reactions (delayed) 
 - T lymphocytes respond to the injected foreign antigen causing the reaction 
Term

 

 

 

 

 

Sample collection for Serology 

Definition
usually serum or plasma samples
 
do not send whole blood unless specifically stated
 
important to follow guidelines specific to the referral lab since requirements are very strict
 
when in doubt, contact lab directly
 
most referral labs have a manual available for methods of sample collection and storage
 
for blood samples, use largest syringe and needle combo availble 
Term

 

 

 

 

 

Handling Serological Samples

 

Definition
Serum
-allow blood to clot for 20-30 mins at room temp
-Rim sample with wooden applicatory stick to dislodge clot gently to prevent hemolysis (be careful)
-centrifuge for 10mins at 1500rpm
 
Plasma
- sample can be centrifuged immediately after collection
 
 
Using transfer pipette, remove serum/plasma and transfer to a clean tube (plain red top)
LABEL, LABEL, LABEL!!!
 - pet name and owner last name
 - date
 - species
 - sex
 - age
 
if samples not tested right away, store in fridge or freezer
 
send samples with cold pack, protective packaging to prevent breakage and requisition form 
Term

 

 

 

 

 

Blood Transfusions

What to transfuse? 

Definition
Packed RBCs
 
Whole Blood
 
Stored, Fresh or Fresh Frozen plasma
 
Platelet Rich Plasma
 
Cryocprecipitate (rarely used) 
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Blood Transfusions

When to transfuse? 

Definition
Whole blood - rapid loss of volume
-trauma
-surgery
-anticoagulant rodenticide
-ruptured tumour
-PCV <25% (dog), <20% (cat)
 
Plasma (stored)
-puppies with protien loss due to parvo virus
-hypoalbuminemia
-hypovolemia (TS <40g/l, hypotensive patients)
-rodenticide 
Term

 

 

 

 

 

Blood Transfusions

When to transfuse? 

Definition
Fresh Frozen Plasma (FFP)
-coagulopathies (Factor VIII)
-von Willebrand's Factor (vWf)
-Disseminated INtravascular Coagulation (DIC)
 
Packed RBCs
-Destruction of RBCs (IMHA - immune mediated hemolytic anemia)
-Hemobartonellosis
-Whole blood loss (in combo with plasma or crystalloids) 
Term

 

 

 

 

 

Obtaining Blood Products 

Definition
Many clinics have a blood bank program in effect
  - staff pets, clinic pets or client pets
 
Animal blood banks
 - Vet schools, emergency clinics, humane society
 - Able to courier supplies as needed 
Term

 

 

 

 

 

Canine Blood Donor 

Definition
-large breed dog > 30kg (lean weight)
 
-<8 years old
 
-spayed and neutered
 
-no potential for bacterium (periodontal Ds, Sx implants, wounds etc)
 
-no therapy (heartworm prophylaxis okay)
 
-no previous transfusions 
 
Term

 

 

 

 

 

Health Maintenance of Donors 

Definition
-Annual vaccines
 
-heartworm negative
 
-CBC, biochemical profile, U/A annually (clinic animals twice per year)
 
-Parasite free (ecto and endo-parasites)
 
-Maximum amount 20mL/kg every 21 days (client pets usually every 2-3 months)
 
-*** Must have complete records***
 
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Feline Blood Donor 

Definition
>4.5kg lean weight
 
Between 1-8 years old
 
Friendly cat
 
Indoor cats preferred
 
Not on raw food diet (Toxoplasma gondii) 
Term

 

 

 

 

 

Health Maintenance of Donors 

Definition
Annual vaccines
 
Annual blood chemistry and CBC
 
Negative for FIV, FeLV, FIP, Mycoplasma haemofelis, T.gondii
 
Blood type should be known
 
50mL maximum donation (<15mL/kg) every 28 days (21 days in emergency) 
 - often not client pets due to anesthesia 
Term

 

 

 

 

 

Canine Blood Types 

Definition
Blood type determined by genetic markers on cell surface (antigens)
 - Dog Erythrocyte Antigen (DEA) followed by a number
 
Antigen:
 - a substance which can stimulate a specific immune response (antibody production)
-proteins, carbs, or fats
 
>12 blood groups in dogs
  
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Common Canine Blood Types 

Definition
Common blood types
-DEA 1 (1.1, 1.2, 1.3) 
-DEA 3
-DEA 4
-DEA 5
-DEA 7
 
DEA+
 - antigen of blood type is found on surface of RBC (ie: DEA 1.1+)
 
DEA-
 - antigen of blood type missing from cell surface (ie: DEA 1.1-) 
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DEA 1.1 

Definition
DEA 1 type of blood is most common
-group with greatest antigen response
 
DEA 1.1+ found in >50% of dogs
 - universal recipient (b/c most common)
 
DEA 1.1-
 - universal donor (no antigen to react to)
 
Transfusion of DEA 1.1+ to a DEA 1.1- is possible for the first time donors without severe reactions
 
Second transfusion could be fatal due to anitbody production against DEA 1.1+ antigen 
Term

 

 

 

 

 

Feline Blood Types 

Definition
3 types
- Type A (80%)
- Type B (12%)
- Type AB (2%)
 
no universal donor
 
most purebred and exotic cats are Type B
 
** cats contain antibodies to those erythrocyte antigens they are lacking (blood must be cross typed and matched before transfusion!!!)
 
Neonatal isoerythrolysis
 -Type A or AB kittens with Type B Queen
 - antibody in colostrum attacks kittens' erythrocytes 
Term

 

 

 

 

 

Bovine Blood Types 

Definition
11 known  blood groups
 - A,B,C,F,J,L,M,R,S,T, and Z 
 
Type B is polymorphic (many antigens)
 
natural antibodies against J type, therefore J-blood may be used to minimize reactions
 
Term

 

 

 

 

 

Blood Types In Sheep and Goats 

Definition
Sheep:
-7 blood types
-A, B (polymorphic),C,D,M,R and X
-Naturally occuring R antibodies
 
Goats:
-5 blood types
A,B,C,M and J (naturally occuring antibodies) 
Term

 

 

 

 

 

Equine Blood Types

 

Definition
8 major blood groups
-A,C,D,K,P,Q,T,U
 
naturally occurring antibodies
 - vaccines cause preformed antibodies
 
***Transfusion reactions often fatal*** 
 
Neonatal isoerythrolysis (NI)
 - antibodies from mares colostrum attack RBC of foal (rare) 
Term

 

 

 

 

 

Blood Typing

 

Definition
in house available for small animal (K9 and feline)
 
contain antisera for all possible blood types
 
whole blood sample required
 
determine blood type by evidence of hemolysis or agglutination
 
not feasible for large animal medicine due to large number of antisera required
  
Term

 

 

 

 

 

Crossmatching 

Definition
determines compatibility of donor and recipient blood
 
possible to have incompatibility even with the same blood type
 
requires whole blood and serum samples from both the donor and the recipient
 
usually a crossmatch is sufficient in large animal medicine
 
 
Term

 

 

 

 

 

Administering Blood Products 

Definition
****always blood type and cross match donors and recipients****
 
possible to administer first transfusion to dogs without typing, additional transfusions require testing
 
cats MUST be crossmatched and typed before transfusing
 
Specialized filtering system
 - traps clots, WBCs and fat 
 
Products warmed to room or body temp
 - if FFP plan ahead
 
NEVER use lacted ringer, 5% dextrose or hypotonic saline
 
use normosol R, 0.9%NaCl recommended
 
second IV catheter good idea
 
Baseline Vital signs
 
test does (0.25ml/kg/hr) over 15mins
 
5-10ml/kg/hr (whole blood) unless volume overload a concern
 - decrease to 4ml/kg/hr
 
no faster than 22ml/kg/hr (whole blood)
 
Plasma: 5-10ml/kg 2-3X/day (over 1-4 hrs)
 - dont allow products to be out of fridge more then 8hrs 
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Routes of Administration 

Definition
1) Intravenously
 - large gauge catheter (cephalic or jugular)
 
2) Intramedullary
 - good for neonates
 
3) Intraperitoneal
 - poor choice due to slow absorption 
Term

 

 

 

 

 

Transfusion Reactions 

Definition
Restlessness/anxiety
Incontinence
Pruritis
Muscle Tremors
Nausea/vomiting
Stretching of legs
Fever
Facial edema
Apnea/trachypnea
Tachycardia
Seizures
Fatality 
Term

 

 

 

 

 

The Immune Response 

Definition
how the body reacts to foreign bodies
 - (bacterial, viral, fungal)
 
2 major systems
 - Innate immune system (non-specific)
 - Adaptive immune system (acquired)
 
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The Innate immune system 

Definition
immunity that an animal is born with
 
act as barriers to foreign material attempting to enter the body
 - can be physical barriers, commensal bacteria or inflammatory response
 
what are some examples of these barriers? skin, gi tract....
 
neutrophils, monocytes/macrophages play an important role in an inflammatory response
 - phagocytic cells
 
what is the difference between a monocyte and a macrophage? monocyte in blood and macrophage found in tissue/organs 
 
other important components are:
-NK (natural killer cells)
-interferons
-complement system
 
NK Cells
-subset of lymphocytes in blood and peripheral lymphoid organs
-kill host cells that become infected from foreign invaders
-release interferon-gamma to stimulate phagocytes
 
what is an interferon? a cytokine (soluble protein) - intiate/mediates response
 
Complement system
-'complement' consist of blood proteins
-function in both the innate and adaptive immune systems
-'the complement cascade' describes the release of proteins in order to stimulate an immune response 
Term

 

 

 

 

 

Adaptive Immune System 

Definition
also divided into 2 parts:
-humoral immune system
-cell-mediated immune system
 
more advanced system then the innate immune system
 
sets into action if foreign substances escape the innate system
 -ie: bacterial, viral, fungal, altered host cells
 
Lymphcytes are the main cells involved
 - macrophages paly a role as APCs
 
what does APC mean? Antigen Presenting Cells 
 
Lymphocytes are produced by the bone marrow as immature cells
 
T lymphocytes mature in the thymus
 
B lymphocytes mature in the bone marrow
 
 
Term

 

 

 

 

 

Humoral Immmune System 

Definition
Antibodies are released by B lymphocytes into the body fluids (humors)
 
what is another name for antibodies? Immunoglobulins 
 
lymphocytes have 3 stages of maturity:
-lymphoblast
-prolymphocyte
-mature lymphocyte
 
once mature the B cells leave the bone marrow and travel to the spleen and lymph nodes 
Term

 

 

 

 

 

B Cells 

Definition
During maturity, each B cell becomes specialized to recognize specific antigens
 
when the B cell reacts with its specific antigen, the B cell produces antibodies
 
helper T cells are involved in this process by producing cytokines to activate the Bcell
 
what is a cytokine? soluble protein- mediate immune response 
 
once stimulated the B cell muliplies and differntiates into clones of the anitbody producing cell
 
differentiation can produce the plasma cell (antibody producing) or a memory B cell
 
Plasma cells (effector cells) are capable of destroying the foreign antigens
 
what is the purpose of the memory cells?
to mediate a faster immune respons to infection and foreign bodies (they remember the bad guys) 
 
 
Term

 

 

 

 

 

Antibodies 

Definition
Y-shaped protein molecules (immunoglobulins: Ig)
 
Five different immunoglobulin classes:
-IgM (1st respond-5% circulating Ig)
-IgG (most abundant and resiliant - 75%)
-IgE (structure similar to IgG-very concentrations)
-IgA (20%)
-IgD (low numbers)
 
antibodies react with antigens by either neutralizing them, initializing phagocytosis on them or lysing cells.
 
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Cell mediated Immune system

 

 

 

 

Definition
involve T-cell lymphocytes
 
also contain 3 stages of maturity
 
list the 3 types of lymphocytes in their maturation process? lymphoblast, prolymphoblast, mature lymphocyte
 
similiar to B cells, T cells become antigen specific (both are called naive cells at this stage)
 
once contact with antigen, T cells begin to divide into clones of effector cells or of memory cells
 
Cytolytic T cells are also known as 'cytotoxic' cells
 
capable of identifying antigen particles on infected cells and lysing them
 -ie: infected cells, tumor cells, grafted tissue cells
 
 
Term

 

 

 

 

 

 

T Cells 

Definition
various forms of T cells
-helper T cells (CD4+) refers to markers on cell surface
-cytotoxic T cells (CD8+) refers to markers on cell surface
 
helper T cells are able to ID the antigen presented by the APC that has been phagocytized
 
The APC has a portion of the antigen on its surface when it presents it to the helper T cell
 
Cytokines are then released allowing the APC to further phagocytize the microbe
 
what else do the stimulated helper T cells aid in? Help stimulate B cells to help them produce antibodies 
Term

 

 

 

 

 

Passive Immunity vs. Immunization 

 

Definition
Passive immunity
-refers to immunity gained by an animal by receiving active antibodies from another animal (donor animal)
-fast acting, but short lived, as anitbodies breakdown and are not stored for future use
-can also be naturally occuring from the mother to the newborn through colostrum
 
immunization
-occurs when an animal is exposed to a substance which stimulates the immune system
-can either be by disease exposure or through vaccination
-antibodies are produced to protect the animal the next time it  encounters the disease 
Term

 

 

 

 

 

Disorders of the immune system 

Definition
not all immune responses are beneficial to the host
 
four types of disorders
 
Type I hypersensitivity
-immediate reaction after antigen enters circulation
-chemicals released from mast cells, allergic reactions, anaphylactic shock
 
Type II hypersensitivity
-host destroys its own RBCs
-autoimmune hemolytic anemia
 
Type III hypersensitivity
-occurs when antigens and antibodies form precipitates
-precipitates deposit in blood vessels
-glomerulonephritis
 
Type IV hypersensitivity
-T-cells react with self antigens in tissues
-contract hypersensitivity: plastic bowls causing dermatitis? (cant be dif levels
 
Deficiencies of phagocytes or Ig's
-passive immunity declines shortly after birth, and without protection, animal is susceptible to various diseases
-(ie: combined immunodeficiency-usually fatal in Arabian foals)
 
Lymphoma:
-lymphocytes proliferate uncontrollably into cancerous cells
-resistant to the hosts immune defense system 
Term

 

 

 

 

 

Adrenocorticol Function Tests 

Definition
Adrenal glands produces 3 types of steroid hormones
 
Glucocorticoids (cortisol)
 
Mineralcorticoids (aldosterone)
 
Sex hormones
 
Epinephrine and Norepinephrine (adrenaline and noradrenaline) 
Term

 

 

 

 

 

Diseases of Adrenal Glands 

Definition
Hypoadrenocorticism - Addison's Ds
 
Hyperadrenocorticism-Cushing's Ds
 
ACTH Stimulation Test 
-detects the response of glucocorticoid production
 
-Hyperplastic exaggerated response (>80% accurate K9, >50% accurate in feline)
 
-Hypoplastic: dimished response
 
ACTH Stimulation Interpretation 
-elevated cortisol levels post ACTH administration evident in hyperadrenocorticism
 
-Reduced cortisol concentration in hypoadrenocorticism or iatrogenic Cushing's 
 
-normal results do not always indicate non-Cushing's disease (must look at clinical signs and retest in 1-2 months)
  - pituitary or adrenal dependent Cushing Ds 
 
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Dexamethasone Suppression 

Definition
uses feedback loops to test the function of adrenal glands
 
administration of Dex inhibits the release of ACTH from a normal pituitary gland
 - therefore plasma cortisol is lower than normal
 
Most common method: low dose suppression test (significant enough to show results) 
Term

 

 

 

 

 

Thyroid Function Tests 

Definition
thyroid hormones involved with metabolism growth and cell differentiation
 
many clinical signs with thyroid ds, therefore, function tests are extremely beneficial in Dx
 
Hypothyroid ds
 - dogs, horses, ruminants, swine
 
Hyperthyroid ds
 - cats 
Term

 

 

 

 

 

Thyroid Assays 

Definition
anterior pituitary releases TSH (thyroid stimulating hormone)
 
thyroid glands release thyroxine composed of T3 and T4
 
Thyroid levels often sensitive to some drugs
 - insulin and estrogen increase T4
 - glucocorticoids, anticonvulsants, antityhroid drugs, penicillins, sulfas, and diazepam can decrease T4 concentration
 
IMPORTANT TO GET COMPLETE Hx! 
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TSH Response and Results

Definition
Response 
 
Tests thryoid function in dogs and horses to determine normal vs abnormal function
 
helps determine whether drug induced hypothyroidism or from another illness
 
Euthyroid Sick Syndrome
 - T3 and T4 levels are low with low to normal TSH levels
 - Thyroid is functioning normally but levels are decreased due to other factors/illness
 
TSH Results 
In normal animals, post TSH injection will see 2X normal T4 results
 
Animals with decreased thyroid already have elevated TSH levels and therefore fo not show increase in T4 results 
Term

 

 

 

 

 

Thyroid Disease in Cats and T3 Suppression in cats

and Thyroid suppression results 

Definition
Thyroid ds in cats
- hyperthyroidism determined by thryoid suppression
-determines the negative feedback regulation of TSH due to high levels of thyroid hormone in blood circulation
  - negative feedback lost and thyroid gland continues to produce hormone; ignoring the regulatory effects by the pituitary gland
 
T3 Suppression in cats
-based on a normal negative feedback response
-blood sample is collected on Day 0 and serum thyroid levels are tested.
-cat is then given oral dose of T3 supplementation and another sample collected 2-3 days later 
 
Thyroid suppression results 
-patient with normal functioning thyroid will respond to the additional T3 by sending a message to the pituitary to stop the production of thyroid producing hormone
-by day 2.5 post supplementation, the levels should be decreased by 50% from initial sample
-patients with hyperthyroidism will not show a decrease in the T3 levels 
Term

 

 

 

 

 

Electrolyte Assays 

Definition
All body fluids contain ions which carry a specific charge:
  - Anion: (negative charge)
  - Cation: (positive charge) cats are happy and positive
 
These charged ions are electrolytes, which are responsible for numerous body functions
-ie:acid-base regulation, enzyme function, water balance etc.
 
Assay testing is done by measuring levels in plasma or serum
 
Electrolytes are very sensitive to sample quality
-lipemia: decreased values
-hemolysis: increased inorganic phosphorus
-icterus:
 
Most common plasma/serum electrolytes
-sodium Na+
-potassium K+
-Calcium Ca2+
-Magnesium Mg2+
-Chloride Cl-
-Bicarbonate HCO3-
-Inorganic Phosphorus PO4 3-
 
   
Term

 

 

 

 

 

Calcium 

Definition
1% not found in bone, mainly in plasma or serum (minimal in erythrocytes)
 
calcium and phosphate are inversely related to each other.
  - higher calcium levels result in lower phosphate levels
 
involved with neuromuscular response, blood coagulation, ion transfer
 
Note: EDTA, oxalate or citrate anticoagulants bind to calcium, therefore unavailable for assay
 
Hypercalcemia - high calcium
hypocalcemia - low calcium 
Term

 

 

 

 

 

Phosphate (Inorganic Phosphate) 

Definition
20% not in bones responsible for energy storage, carbohydrate metabolism, nucleic acid and phospholipid structure
 
inorganic portion found in plasma/serum
 
organic portion found in erythrocytes, therefore hemolyzed samples five false elevated values
 - centrifuge samples ASAP and collect serum/plasma
 
Hypophosphatemia - low phosphorus
Hyperphosphatemia - high phosphorus 
Term

 

 

 

 

 

Sodium 

Definition
Major electrolyte in plasma and extracellular fluid
 -maintains osmotic pressure
 -water distribution
 -exchange with hydrogen after kidneys filter sodium
 
Note: heparin anticoagulant contains sodium salt, therefore elevating results
 
Hyponatremia - low sodium
Hypernatremia - high sodium
 
Term

 

 

 

 

 

Potassium 

Definition
Major intracellular electrolyte
-muscle function
-respiration
-cardiac function
-nerve impulses
-carbohydrate metabolism
 
High serum levels in acidotic patients, necrosis (damaged called release potassium)
 
Sample Collection 
-plasma better then serum - elevated values with clotting process
-hemolyzed samples should not be used due to higher potassium concentration in erythrocytes than plasma
-do NOT freeze or cool samples until they have been centrifuged and separated from blood cells
 
Hypokalemia - low potassium
Hyperkalemia - high potassium 
Term

 

 

 

 

 

Magnesium 

Definition
Found in all body tissues
-high concentration in bones
-involved with production and decomp of acetylcholine
-close relationship with calcium and phosphorus
-muscle function decrease with imbalance of magnesium:calcium ratio (redundant)
-clinical signs only in cattle/sheep
 
Heparin only acceptable anticoagulant
 
hemolyzed samples elevate results
 
hypomagnesemia - low magnesium
hypermagnesemia - high magnesium 
Term

 

 

 

 

 

Chloride 

Definition
Major extracellular electrolyte
-water distribution
-osmotic pressure
-ratio anion:cation
 
closely involved with sodium and bicarbonate
 
hemolysis may dilute sample givine decreased values
 
centrifuge and separate as soon as possible
 
Hypochloremia - low chloride
Hyperchloremia - high chloride 
Term

 

 

 

 

 

 

Bicarbonate 

Definition
Common electrolyte in plasma
-important in acid-base balance
 - removes CO2 from tissues to lungs
 - bicarbonate levels 95% of CO2 levels
-kidneys excrete excess
 
Arterial blood is best method for assay testing
 
lithium heparinate is acceptable anticoagulant if using plasma
 
if sample not run immediately, place in ice water but DO NOT FREEZE - hemolysis 
Term

 

 

 

 

 

Kidney Function 

Definition
>75% glomeruli both kidneys nonfunctiontional before serum chemistry changes
 
Creatinine
-byproduct muscle metabolism produced at constant rate, filtered out by glomeruli
-increased when lack of functional glomeruli
-influenced by fluid and hydration levels, prerenal increase (shock), postrenal (urethral obstruction) decrease
-serum/plasma, hemolysis ok; bilirubin false increase 
Term

 

 

 

 

 

Urea (Blood Urea Nitrogen/BUN) 

 

Definition
-end product protein metabolism excreted by kidney, =<40% reabsorbed, decrease if urine increased
 
-evaluates glomerular filtration and function
-causes nonrenal increase: amt. protein ingested, fever, corticosteroids
 
-increase renal insufficiency, prerenal (shock, dehydration), postrenal UT obstruction); decrease anorexia, liver ds, tubular injury
 
Serum> plasma, nonlipemic, fast 18hrs, test ASAP as bacterial contamination decrease amt
 
Term

 

 

 

 

 

Water Deprivation/Urine Concentation Tests 

Definition
gradual deprive water over 3-5 days to stimulate antiduiretic hormone (ADH) release, occurs at about 5% wt loss
 
if sufficient ADH, USG = 1.025
 
if failure to concentrate urine
 - insuffient ADH
 - tubular dysfunction
 
Do not do if patient dehydrated or increased BUN 
Term

 

 

 

 

 

Pancreatic Function 

Definition
endocrine (glucagon and insulin); diabetes mellitus (DM), deficiency insulin leading to hyperglycemia, common
 
exocrine (lipase, amylase and trypsin), most common; dogs > cats
 
urine glucose: glucosuria - BG excreeds renal threshold for absorption of glucose
 - DM: hyperglycemia and glucosuria, confirm with fructosamine 
Term

 

 

 

 

Urine and Blood Glucose (BG) 

Definition
clinitest tablets (Ames) not specific, for screening only; reagent strips (Clinistix, Chemstrip) specific fro urine glucose
 
False positives from ascorbic acid (vit c), morphine, salicylates, penicillin, tetracylcline, IV fluids with dextrose, GA's
 
Serum/plasma glucose test measure glucose oxidase, specific for glucose
 
increase BG: Diabetes mellitus, cushing's ds
 
decrease BG: malabsorption, sever liver ds, storing whole blood (RBCs cont. to use 7-10% glucose/hr)
 
glucose tolerance tests - utilize CHO's
 
Serum preferred, Na fluoride if plasma, centrifuge to separate, and transfer
 
fast 16-24 hrs, dog, cat, not in ruminants 
Term

 

 

 

 

Serum Amylase 

Definition
breaks down starches and glycogen
 
increase with actue, chronic and obstructive pancreatitis, Cushing's ds, liver ds, upper GI inflammation/obstruction, renal failure
 
animals have increased serum amylase than humans (10X > in cats, dogs)
 
not considered useful in cats
 
nonhemolyzed, nonlipemic serum or heparinized plasma
 
Term

 

 

 

 

 

 Serum Lipase

Definition
Breaks down long chain fatty acids of lipids into fatty acids and alcohols
 
increase acute and chronic pancreatitis, renal failure, cushing's ds, dexamethasone tx, bile tract ds
 
not always increased in cats with pancreatitis
 
nonhemolized, nonlipemic serum or heparinized plasma 
Term

 

 

 

 

 

Trypsinlike Immunoreactivity (TLI) 

Definition
specific and sensitive assay for exocrine pancreatic insufficiency in dogs: chronic pancreatitis, juvenile atrophy, pancreatic hypoplasia; maldigestion of food, as decreas lipase, trypsin and amylase
 
trypsinogen, trypsinlike substance, synthesized in pancreas, blood-trace amts
 
fast 12hrs
 
common cause of malabsorption in dogs > cats 
Term

 

 

 

 

Liver Function and Bilirubin and testing for bilirubin

Definition
70% liver nonfunctional before changes
 
bilirubin produced by metabolism of heme by mononuclear phagocyte system
 
hyperbilirubinemia can cause jaundice
 
unconjugated not water soluble, bound to albumin, carried to liver to be conjugated into glucoronic acid, water soluble
 
excreted via bile to intestines, some resorbed by portal system to liver, to kidney for excretion (in conjugated form unless renal damage)
 
significant increase total and conjugated bilirubin, caculate unconjugated portion
 
Bilirubin 
 
increase unconjugated: pre-hepatic jaundice (IV hemolysis and anemia)m or liver cells unable to take up or conjugate
 
increased conjugated: hepatic jaundice or increased with cholestasis (post-hepatic jaundice)
 
some dogs lower renal threshold; small amt bilirubinuria normal in dog, cattle but abonormal in cat, pig, sheep, horse
 
increase in cattle, sheep, goat, pig due to hemolysis, not useful indicator or liver ds
 
Testing for bilirubin 
diazo reagent: icotest tablets (highly specific and sensitive for urine bilirubin), Icostix, multistix, (less sensitive for urine bilirubin)
 
false positive from some medications
 
nonlipemic, nonhemolyzed serum/plasma
 
remove from clot =<3 hr, store in dark  (50% lost in 1 hr if left in light), refrigerate/freeze
 
increase urobilinogen, dogs and cats, hepatocellular ds; dogs and humans, decrease with obstructive biliary ds
 
freshly voided urine sample, test ASAP 
Term

 

 

 

 

 

Total Serum/ Plasma proteins 

Definition
reflects nutritional status
 
easily denatured from heat, strong acids/bases - detergents, enzymative action, urea. UV light
 
TP and albumin measured, globulin calculated
 
affected by rate of protein synthesis in liver, increase breakdown oe excretion, dehydration (increase) or overhydration (decrease), distribution proteins in body
 
use refractometer on clear sample; affected by electrolytes, lipids, hemolysis, urea and glucose
 
labs; wet and dry chemistry; total dye binding
 
nonhemolyzed, nonlipemic serum/plasma, EDTA or heparin; slow decreas with serum 
Term

 

 

 

 

 

Albumin 

Definition
in response to ds, albumin decreases, globulin increases
 
increase rare (shock); tests; albumin dye binding
 
decrease more common: chronic liver ds, starvation/malnutrition, malabsorption, enteritis/colitis/parasites, pregnancy and lactation, prolonged fever, uncontrolled DM, trauma, nephritis/nephrosis, ascites (fluid in abdomen), protein losing enteropathy, blood loss 
Term

 

 

 

 

 

Globulins 

 

Definition
fractions, subdivided into subfractions (alpha,beta,gamma); separated by electrophoresis (like albumin), patterns species specific and for certain ds
 
fibrinogen, coagulation factor, sometimes measured separately; use plasma, 4g/l TP
 
increased inflammation/infection, antigenic stimulation neoplasia or abnormal immunoglobulin production
 
albumin-globulin ratio (A:G); albumin/globulin, early indicator abnormal protein profile
 
>1 dog, horse, sheep, =<cat, pig, cattle 
Term

 

 

 

Enzymes 

Definition
biological enzymes assaye, increase concentration
-if tissue cells destroyed
-increase in production
-obstruction of excretory route
-decrease in circulation
 
test kits contain required substrates, coenzymes and cofactors, correct temp (30 degree C)
 
handle samples carefully
 
IU- internation unit, amount of enzyme that will catalyze the conversion or 1 u 
Term

 

 

 

 

ALT 

Definition
Alanine aminotransferase or alanine transaminase, was SGPT
 
lrg amounts in hepatocytes dog, cat, primate, not horse, ruminant, pig
 
Increase if hepatocytes damaged, decrease if isolated incidence, increase if chronic
 
some drugs cause increase in dogs, not cats
 
nonhemolyzed, nonlipemic serum/plasma EDTA or Na citrate, do not freeze 
Term

 

 

 

 

 

AST 

Definition
aspertate aminotransferase or aspartate transminase, was SGOT
 
not organ specific, in all body tissues, present in cardiac and skeletal muscle, liver
 
interpret with ALT, unless ALT not significant in species but rule out other causes increase
 -dog and cat increas ALT/N ALP = reversible liver damage, increas ALT and ALP = hepatocellular necrosis, normal ALT/ Increase ALP = source not liver
 
horse higher normal AST: specific method, dilute
 
nonhemolized, nonlipemic serum/plasma, separate ASAP 
Term

 

 

 

 

AP (Alkaline Phosphatase) 

Definition
present in almost all tissues, liver and bone isoenzymes, small amt normal in serum
 
increase production, not decrease excretion through bile
 
increased in young animals, increased rate bone growth
 
increased in adults, bone injury or obstructive liver ds (inrahepatic/posthepatic cholestasis)
 
glucocorticoids and anticonvulsants increase 2 wks
 
serum or heparinized plasma 
Term

 

 

 

 

 

LDH, GGT and SD 

Definition
LDH, lactate dehydrogenase, most tissues: liver, muscle, RBC; increase non-specific
 -serum or plasma (no EDTA or oxalates)
 
GGT, gamma-glutamyltransferase, found in liver (pancreas, kidney)
  -increase cholestasis, all liver ds; dog and cat increase ALT also
  - fatty liver ds (dog and cat), some meds
 
SD, sorbitol dehydrogenase, liver, Ig anim replace ALT to Dx liver ds, unstable - 8 hrs 
Term

 

 

 

 

 

Bile Acids 

Definition
formed in liver, scattered in bile, stored in gall bladder, secreted into duodenum to aid in fat absorption and digestion, reabsorbed in ileum, filtered by liver
 
2hr post-prandial increase 2X cat, 3X dog, over resting
 
nonspecific liver ds, liver cannot clear bile acid from blood
 
decrease delayed gastric emptying and ileal ds
 
serum 
Term

 

 

 

 

Cytology 

Definition
Differentiates between inflammation  and neoplasia in cells
 
Sample collection methods include: swab, scrape, or imprint, fine needle aspirates or biopsies, tissue biopsies, centesis
 
Evaluate fluid for volume, colour, turbidity, cell types present, nucleated cell count, total protein
 
Smaple preparation methods for solid (compression smear, starfish smear or combo) or fluid (compressiong smear or line smear)
 
Systemic approach for quality diagnostic results
 
Inflammation: suppurative/purulent, granulomatous, pyogranulomatous, eosinophilic
 
Neoplasia: homogeneous populations single cell type
 
Benign neoplasia: hyperplasia with no criteria of rmalignancy in nucleus
 
Nuclear criteria of malignancy: anisokaryosis, pleomorphism, increased nucleus/cytoplasm ratio, increased mitotic figures, coarse chromatin pattern, nuclear molding, multinucleation, variable nucleoli 
 
-Cerebrospinal fluid (CSF)
-Aqueous and vitreous humor
-Synovial fluid
-tracheal wash (TTW, Oro-tracheal: ET tube, bronchoalveolar lavage) 
-nasal flush
-vaginal cytology
-semen evaluation
-prostatic secretions
-milk (dairy cows) 
Term

 

 

 

 

 

Exfoliative Cytology 

Definition
Study of cells shed from body surfaces
 - body fluids (CSF, peritoneal, Pleural, synovial)
 - mucosal (trachea, vagina)
 - secretions (Semen, prostatic fluid, milk)
 - neutrophils, lymphocytes, plasma cells, eosinophils, macrophages, mesothelial cells, mast cells, RBCs
 
Differentiate between inflammation and neoplasia by ID of cell types to aid in Dx and Tx
 
(+) collected quickly, easily and inexpensively; no specialized equipment needed
 
(-) quality control concerns: improper collection can damage cells; variable staining techniques; formalin and improper handling can affect evalution 
Term

 

 

 

 

Sample Preparation 

Definition
several different perparations made for each sample: allows for additional teste without additional collection
 
Impression smears, compression or modified compression preps, line smears, starfish smears, wedge smears
 
Concentration techniques: low-speed centrifugation, gravitational sedimentation, membrane filtration, cytocentrifugation
 
Fluids: anticoagulant or preservatives
 
single or multiple staining procedures 
Term

 

 

 

 

Cytology vs. Histopathology 

Definition
Histopathology: observe cells in relation to neighboring cells, cellular architecture
-sample immersed in fixative
-dehydrate tissue and imbed in parafin
-slice thinly, mount on slide and stain
 
Cytology: observe cells individually or in small groups, randomly distributed, no evidence of in vitro relationship
 
evaluation flow chart
 
 
Term

 

 

 

 

Inflammation 

Definition
normal response to tissue damage or invasion by microorganisms
 
Chemotactic factors attract WBCs: neutrophils and macrophages, predominant, occaisional eosinophils and lymphocytes
 
Categories
 - suppurative/purulent: over 85% neutrophils (most common: bacteria)
 
 - Pygranulomatous: 15% macrophages, 50-75% neutrophils (fungal, parasitic, mixed)
 
 - Granulomatous: equal to or less than 50-75% macrophages, equal to or less than 15% neutrophils (fungal, parasitic)
 
 - Eosinophilic: More than 10% eosinophils (parasitic, neoplasia)
 
Degenerations (esp. neutrophils)
 - nuclear changes
  - pyknosis: small dark condensed nucleus from slow cell death/aging
  -Karyorrhexis: fragmented nucleus
  -Karyolysis: swollen ragged nucleus, loss of nuclear membrane, decrease in staining intensity from rapid cell death, (often septic/bacterial reaction)
 
Presence of microorganisms
 -Septic: contain phagocitized bacteria or other microorganisms (sometimes RBCs, parasites, fungal) 
 
Term

 

 

 

 

Neoplasia

 

Definition
Homogeneous population single cell type, same tissue origin
 
If mixed cell population, neoplastic area + concurrent inflammation
 
Benign
 -same cell type, relatively uniform cytoplasm and nuclei
 -hyperplasia, no criteria of malignancy
 
Malignant
 - morphologic changes in cytoplasm and nuclei
 - minimum 3 nuclear criteria of malignancy; 5 criteria more diagnositc 
Term

 

 

 

 

Nuclear Criteria of Malignancy 

Definition
Pleomorphism: variability in size (anisocytosis), shape, and appearance same cell type (cytoplasm/nucleus)
 
macrokaryosis (large nucleus), anisokaryosis (nucleus variable size), multinucleation (multiple nuclei)
 
Increase nucleus: cytoplasm ration (N:C)
 
Increase mitotic activity/figures, abnormal mitosis
 
Coarse chromatin pattern
 
Nuclear molding
 
Macronucleoli/angular nucleoli/anisonucleoliosis
 
HISTOPATHOLOGY: local tissue infiltration or vessel/lymphatic invasion 
Term

 

 

 

 

Cytology of Specific Sites 

Definition
Peritioneal and pleural fluid
 - transudate, modified transudate, exudate
 - reactive mesothial cells vs. neoplasia
 
Lymph nodes: lymphadenopathy or sentinel
 - normal 75% small mature lymphocytes
 - reactive lymph nodes respond to antigenic stimulation
 - lymphadenitis (inflammation-neutrophil, macrophages)
-Hyperplasia (benign neoplasia)
 - mixed (inflammatory and neoplasia)
 - lymphoma (malignant neoplasia)
 - metastasis (neoplastic cells spread from other body tissues) 
Term

 

 

 

 

Diagnostic Microbiology 

Definition
study of microbes (bacteria, fungi, viruses) unable to see with naked eye
 
bacteriology, mycology, virology
 
immunologic methods used for virology
 
bacteria and fungi evaluated with routine procedures, some in-house testing
 
samples collected quickly, easily, decrease cost; quality control vital
 
Term

 

 

 

Diagnostic Bacteriology 

Definition
bacterial morphology based on shape and arrangement of cells
 -specialized structures (capsules, spores) to ID
 
Bacteria have various O2, temperature and nutrient requirements
 
Basics: microscope, incubator, sample collection materials, culture media and observe growth characteristics; additional biochemical test to further ID
 
Antibiotic sensitivity testing to determine resistance or sensitivity (C+S)
 
Most microbes found on body non-pathogenic=normal flora (eg) GIT, resp.tract, skin, lower urinary  and reproductive tracts)
 
spinal column, blood and urinary bladder not normal flora (nothing should be growing here); bacteria (and fungi) found here, from another location are significant
 
ID bacterial pathogens or overgrowth of normal flora
 
Bacteria prokaryotes, 0.5-5 um, cell walls, plasma membranes, ribosomes +/- capsules, flagella, endospores
 
Requirements: O2 tension, temperature, pH (6.5-7.5), nutrition - specific collection/handling and aid in ID 
Term

 

 

 

 

Bacterial Growth Requirements 

Definition
O2 requirements:
 - obligate aerobes: require O2 to survive
 - Obligate anaerobes: killed/ deacreased growth in O2
 - Facultative anaerobes: can survive/limited growth in O2
 - Microaerophilic prefer decreased O2 tension
 - Capnophilic: increased CO2
 
Nutrient requirements vary
 - choose culture media based on this
 - fastidious microbes: strict requirements
 
Temperature
 - most are mesophiles (20-40 degress C); if decreased psychrophiles and if increased thermophiles 
Term

 

 

 

 

Bacterial Cell Morphology: Shape 

Definition
Coccus/cocci: round balls or spheres eg) Staphylococcus or Streptococcus
 
Bacillus: rods or cylinders eg) Bacillus anthracis or E.coli
 
Spiral usually occur singly
 - loose eg) Borrelia
 - tight eg) Leptospira
 - Comma-shaped eg) Campylobacter
 
Pleomorphic: ranging from cocci to bacilli (rods); classify as rods if seen. 
Term

 

 

 

 

 

Bacterial Cell Morphology: Arrangement 

Definition
Single: unattached spirilla or most bacilli
 
Pairs: group of 2 or diplococcus eg) Streptococcus pneumoniae
 
Clusters or bunches: groups of more then 2, or grape-like clusters, Staphylococcus aureus
 
Chains: short of long single-stranded chains eg) Streptococcus
 
Palisades: " Chinese letter pattern" eg)Corynebacteriusm spp
Term

 

 

 

 

Spores 

Definition
Spores or endospores: intracellular refractile bodies; non-staining bodies with gram stain
 
Resistant to heat, dessication, chemicals, radiation
 
Vary in size, shape, location
-central, in center eg) Bacillus anthracis
-subterminal, near end eg) Clostridium chauvoei
-Terminal at end eg) Clostridium tetani 
 
Term

 

 

 

 

Bacterial Growth 

Definition
Bacterial cells, single strand DNA, reproduce by binary fision
 
4 distinct stages or phases or growth:
 
A) Lag: adapting metabolism to use resources
B) Exponential growth: doubling or generation time, species variability, affected by environment; limited by decreased nutrients, increase toxic wastes, space
 
C) Stationary: no net increase or decrease
D) Logarithmic decline: death, spore formation 
Term

 

 

 

 

 

Bacteriology: Basic Media 

Definition
Agar: semisolid
 
Broth: liquid
 
Plate: flat, round container agar
 
Tube: screw-top container or broth/agar
 
Slant: tube agar, gell at an angle
 
Selective: contain compounds that inhibit growth certain types of orangisms
 
Differential: contain compounds that ID certain characteristics of organisms on the media 
Term

 

 

 

 

 

Specific types Media: Plates 

Definition
Columbia colistin-nalidixic acid agar (CAN)
+5% sheeps blood
 - selects for Gram (-) using colistin and nalidixic acid, alternative Phenylethyl alcohol (PEA)
 
MacConkey II agar (MAC)
 - Selects for Gram (-) using crystal violet bacterial Gram (+) inhibitor
 -differeniates between lactose fermeneters (LFs) and non-lactose fermeneters (NLFs) using neutral red indicator that colours LFs Pink/ purple
 - Inhibits swarming Proteus spp.  
 
Mueller-Hinton agar (MH)
- general-use, for standard results for C+S
- may be blood enriched for fastidious organisms
 
Salmonella-Shigella agar (SS)
-pathogenic enteric Gram (-); alternative Hektoen enteric agar and Levine eosin methylene blue agar
-Differentiates LFs from NLFs like MAC
-ID H2S producing: ferric citrate (+) =black
 
Trypticase soy agar + 5% sheep's blood (TSA)
or Blood agar plate (BAP)
 - general, nutritive for fastidious organisms
 - observation bacterial hemolytic reactions 
 
Term

 

 

 

 

Basic Media: Tubes

 

Definition
Bile esulin agar (BE)
 - slanted, ID organism hydrolyze esculin, especially enterococci; ferric citrate (+) = dark brown
 
Brain Heart Infusion (BHI)
 - enriched broth, bring organisms to turbidity level to perform diffusion C+S (Kirby-Bauer)
 
Gram (-) Broth
 - enrichment medium Salmonella and Shigella spp. Fecal culturing
 
Oxidation fermentation medium + dextrose (OF)
 - semisolid, ID dextrose using Gram (-)
 
Sodium chloride (NaCl) 0.85%
 - Sterile solution, diluting Gram (-)  API testing
 
Thioglycollate broth (THIO) + indicator -135C
-general use, most organisms, anaerobes, some fungi
 
Tryticase soy broth (TSB)
 -general use, most organisms, especially fastidious ones, blood cultures, sterility testing
 
Urea agar slant (UREA)
 - ID urease production; (+) = phenol red 
 
 
Motility test medium
 - semisolid, motility or organism
 
Nutrient agar slant
 - cultivation and transport nonfastidious organisms 
Term

 

 

 

 

Types of Specimens 

Definition
Sterile areas
 - body areas/cavities not normally conataining bacteria/fungi; any orangisms are abnormal
- blood, urine, spinal fluid, joint fluid, solid organs, milk, lower resp tract.
 
Nonsterile areas
 - body areas, that when healthy, contain resident bacteria/fungi (normal flora); need to distguish from ds-causing organisms
-hair/fur, skin, sputum/saliva, GIT/feces, ears, upper resp tract (nares, trachea) 
 
Abscessed areas
 - areas the body has filled with exudative (pus) marterial, response to inflammation or irritation
-if sterile abscess, no bacterial etiology, no growth on C+S
-primary, contain 1 pathogen, cause of original infection
-secondary, contain multiple opportunistic pathogens, bacterial/fungal, invaded after original infection 
 
Term

 

 

 

 

 

Collection and Culture of Specimens 

Definition
swab specimen
 - culturette of sterile cotton-tipped swab
 - ears, nares, abscesses; squirt liquid on swab
 - prepackaged sterile swabs and transport media
 
Liquid specimen
 -aspirate in syringe, sterile tube (red and purple top)
 - abcess material, tracheal/bronchial wash, nasal discharge, joint fluid, spinal fluid
 
Solid Specimen
 - hard abscess, tissue samples, organs, skin, scales
 
Urine specimen
 -Cystocentesis preferred, sterile catheterization acceptable; free catch contains normal flora from skin/genital area; table top/floor contaminants ++++, not for C+S (note collection method)
 
Blood Specimen
 - sterile technique: disinfect rubber tops 2 tubes and surgical prep of venipuncture sites, aseptic venipuncture; vent 1 for aerobes, leave 1 sealed for anaerobes
 
Fecal cultures
-direct smears using NaCl and microscope evaluation
-gram stain all fecal specimens: Campylobacter spp. (Gram (-) comma-shaped spirals) difficult to culture due to fastidious O2 needs; Clostridium spp. large spore forming Gram (+) rods
-inoculated on specific plates and broth 
Term

 

 

 

 

Bacterial Identification

 

Definition
Examine plates after overnight incubation
 
Observe morphology of colonies: each one of the same type of bacteria look the same
 
Gram (+)nwill grow on Blood Agar (BAP or TSA) and CNA (if used)
 
Gram (-) grow on blood Agar (BAP) and MAC
 
Fastidious organisms grow only on BAP: gram stain representative colony
 
Term

 

 

 

 

Gram (+) Cocci: Staphylococci 

Definition
Staphylococci (staph) and streptococci (strep); micrococci less common
 
Staphylcoccus spp.
 -hemolytic vs. nonhemolytic (check BAP)
 -Catalase (+) = perform 1st as strep is (-)
 -Coagulase (+) = increase pathogenic
 -Mueller-Hinton C+S, skin has normal flora
 -Broth tube: comets/shooting stars
 -Staph, especially coagulase (+), cause skin and other infections (conjunctivitis, otitis, skin wounds, abscesses, bumblefoot in birds, MRSA (methicillin-resistant Staphylococcus aureus)
Term

 

 

 

 

Gram (+) Cocci: Streptococci 

Definition
Catalase (-)
 
Hemolysis on BAP, zone around colony:
 -alpha: imcomplete, narrow  and green/slimy
 -Beta: complete, clear zone
 -Gamma: none, no change
 -Delta: double-zone, like target
 
Mueller-Hinton (+blood) C+S: Streptococci, especially Beta-hemolytic, with poor growth indicates sensitivity to multiple antibiotics
 
Enterococci or enterococcol strep (Strep. fecalis) normal flora of the GI, opportunistic elsewhere, bile esculin (+) 
 
Broth tube: stars
 
Optochin disk: Strep. pneumoniae show inhibition, other then alpha-hemolytic streptococci unaffected
 
cause skin wounds, abscesses (stangles), pneumonia, mastitis, septicemia, genital infections, UTIs, VRE (Vancomycin Resistant Enterococcus)
Term

 

 

 

 

Gram (-) Cocci: Neisseria 

Definition
Normal flora in the respiratory tract of many species
 
pathogenic in humans: N. gonorrheae (gonorrhea) and N. meningitidis (meningitis) 
 
N. weaveri in canine mouth, dog bite infections 
 
N. iguanae abscesses in iguanid lizards
Term

 

 

 

 

Gram (-) Bacilli/Rods 

Definition
Enterobacteriaceae or enteric bacteria common in many species
 
grow on Blood agar (BAP) (may overgrow gram (+) cocci, may need CNA to recover these) and MAC
 
lactose fermenters on MAC
 - NLF: clear; perform oxidase
 - LF: dark pink/purple; all LFs oxidase (-)
 
Fecal pathogens: Proteus and Salmonella, Shigella and Pseudomonas, Aeromonas; use oxidase, H2S, urea to differentiate 
Term

 

 

 

 

 

Anaerobic Gram (-) Bacilli/Rods 

Definition
Bacteroides spp. common pathogen, B. fragilis: diarrhea, soft tissue abscesses, mastitis, periodontitis
 
Fusobacterium spp. normal flora oral cavity, GIT; infected dog and cat bites, bovine foot rot and equine thrush
 
Above non-spore formers, need proper handling and prompt transport
 
Pseudomonas, Aeromonas (non-GIT), serious primary pathogens birds, reptiles, fish, amphibians 
Term

 

 

 

 

 

Gram (-) Spirochetes 

 

Definition
Campylobacter spp. normal GIT flora in hooved mammals; chronic debilitating diarrhea in primates and carnivores
  
 - curved rods joined end to end (seagull or "W"), comma or spirals
  - not always seen on gram stain; need microaerophilic environment, special media as others often overgrow
 
Yersinia spp. need salt to grow (halophilic)
 - reptile/amphibian cultures
 - primate or ruminant fecal cultures
 
Leptospira spp., Borrelia spp., Helicobacter spp.  
Term

 

 

 

 

Gram (-) Coccobacilli 

Definition
Moraxella bovis resemble fat rods, causes pinkeye in cattle
 
Respiratory pathogens:
 - Bordetella spp. dogs, cats
 - Pasteurella spp. cats, rabbits
 
Categorized under bacilli 
 
Brucella abortus causes abortions in cattle
 
may not grow on MAC, can be confused with streptococci so gram stain, use young colonies of both 
Term

 

 

 

 

Gram (+) Bacilli/Rods 

Definition
Clostridium spp. anaerobi, spore-former seen on gram stain; can send to lab to ID C.tetani, perfringens, botulinum, chauvoei, septicum
 
Bacillus spp. most common aerobic
 -can be hemoltyic and spore-former
 -Bacillus anthracis pathogenic: sudden death in cattle and sheep, skin and lung lesions in humans
 - B.piliformis acutre fatal enteritis in foals and rodents
 -others are normal flora or environmental contaminant
 
Corynebacterium spp. Normal flora GIT, mouth, skin
 -curved pleomorphic "chinese letters"/palisades 
 - pathogenic C. equi (foal pneumonia), C. pseudotuberculosis (caseous lymphadenitis sheep/goats), C. renale (UTI in cattle, pigs, and male sheep)
 
Listeria monocytogenes, catalase (+) can infect brainstem
 
Erysipelothrix rhusiopathiae, catalase (-) septicemia; endocarditis dogs 
 
Mycobacterium spp. long thin sometimes branching
 
-difficult to isolate and culture, months and special media
-acid-fast stain (carbol fuchsin 5 min, rinse, acid-alcohol decolorizer, malachite green counterstain) to ID thin pink rods
 
-Serious Pathogens
  -M. paratuberculosis: Johne's ds in cattle
  -M. tuberculosis: pneumonia in humans, primates
  -M. avium: fatal, untreatable GI and respiratory infection in birds 
 
Term

 

 

 

 

 

Mycoplasma and Obligate Intracellular Bacteria 

Definition
Mycoplasma spp. lack cell wall so not easy to stain/ID; send to reference lab; pneumonia, arthritis (causes a septic athritis)
 
obligate intracellular bacteria, Gram(-) bacilli, needs cell cultures; Dx: serology, special staining (ID within host's cell)
 
-Chlamydia spp. genital and URTIs in humans, cats, pigs and birds
 
- Erhlichia canis, canine hemorrhagic fever (tick-borne), E.risticii, Potomac horse fever (arthropod-borne)
 
-Rickettsia rickettsii, rocky mountain spotted fecer (Tick-borne) humans and dogs 
Term

 

 

 

 

Mycology 

Definition
fungi are heterotrophs: an organism that cannot synthesize its own food and is dependent on complex organic substances for nutrition
 
Parasitic or saprophytic (found in environment and are opportunistic pathogens)
 
Multicellular except yeasts; eukaryotics cells, cell walls composed of chitin (conatined within the body wall of insects)
 
webs slender tubes, called hyphae, make up branching web, mycelium
 
grow toward food sources; digest externally by release of digestive enzymes, bring resulting small molecules into hyphae
 
may have reproductive structure, fruiting body, produces and releases reproductive cells, spores, specific for different groups
 
yeasts produce by budding
 
most fungi rely on both sexual (ascospores, basidiospores and zygospores) and asexual (sporangiospores or conidia) reproduction
 
fungi can be differentiated on basis of structure of hyphae and on presence or spores
 
Categories pathogenic fungi
-1) Basidiomycetes: mushrooms or club fungi
-2) Ascomycetes: cup fungi
-3) Zygomycetes: molds
-4) Deuteromycetes: aka fungi imperfecti has no known sexual stage occurs 
 
Diagnostic mycology
-fungal samples routinely collected without specialized equipment
-must confirm ID by microscopic examination 
 
Term

 

 

 

 

Mycology

Basic Media: Tubes 

Definition
Dermatophyte Test Medium (DTM)
-solid-tubed, supplimented gentamicin and chlortetracycline; pathogenic fungi
-phenol red, colour change rapidly growing pathogenic fungi
 
Mycosel agar
-cyclohexamide and cloramphenicol inhibit bacterial growth
-alternative: sabaroud dextrose agar + chloramphenicol 
Term

 

 

 

 

Diagnostic Mycology:

Fungal Identification 

Definition
Characteristic microscopic morphology
 
-use cellophane tape, press to fungal colony, add saline or lactophenol cotton blue, ID hyphae
 
-other specialized techniques and media
 
-TSA plate will often grow yeast; colonies not readily recognized can be gram stained or wet mounted with NaCl
 
-Heavy fungal infections (eg) avian aspergillosis), fungi grow on top of THIO or surface TSA plate: dry fuzzy appearance 
Term

 

 

 

 

Dermatophytes 

Definition
Found in hair, skin, nails, claws; is the cause of ringworm in humans and animals
 
most common: Microsporum spp. and Tricophyton spp. 
 
Most cause colour change in DTM (fungassay) from yellow to red, before large amt of growth (N.B. contaminants)
 
Distiguish by large macroconidia: diagnositic shapes seen microscopically 
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Saprophytes 

Definition
found in the environment, opportunistic fungi
 
localized or disseminated (systemic) fungal/mycotic infections:
 
-Aspergillus spp. (Aspergillosis): nasal in dogs, horses, pneumonia in birds and other species
  -can also cause severe immunosuppression by production of aflatoxin, ingested in feed/hay
 
-Mucor spp. and Rhizopus spp. can cause lymph node, lung and liver lesions in immunosuppressed animals
 
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Yeast 

Definition
often cream coloured colony growing only on TSA plate
 
Candida spp. infects mucous membranes in GIT (including mouth), genital tract, resp tract, ears 
 
Candida albicans causes many dses, especially if predisposing conditions:
-immunosuppression
-primary bacterial infection
-prolonged antibiotic use 
 
ID Candida albicans with germ tube test
 - isolate yeast incubated in rabbit plasma with EDTA 2-3 hrs, microscopic exam
 - Produces germ tubes, grow from side of yeast like tiny hyphae
 -true germ tubes don't 'pinch in' at point of attachment to parent yeast cell
 
Commercial agglutination tests also exist
 
Cryptococcus neoformans: encapsulated yeast causes severe nasal infections dogs and cats, meningitis in people 
 
Cultures/nasal exudates Cryptococcus neoformans, add drop of India ink, microscopic exam
 
Malassezia pachydermatis found in external ear; cause of otitis externa, seborrheic dermatitis, hypersensitivity reactions
 - gram stain: oval, bottle-shaped budding yeast
 
yeast can be normal flora in ears, genetals and oral cavity 
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Dimorphic Fungi 

Definition
Exhibit yeast-like growth in animal tissue and saprophytic fungus-type growth in environment
 
Highly Zoonotic, use protective measures
 
-characteristic microscopic appearance; Dx also by serology
 
-Histoplasma capsulatum, resp tract in dogs and cats and humans
 
-Blastomyces dermatitidis, resp tract, skin in dogs and humans
 
-Coccidioides immitis, resp tract in dogs, humans, less common in bones and internal organs
 
-Dx: cytological exam of clinical specimen 
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Virology 

Definition
Viruses not cellular (no nucleus, cytoplasm, cell membrane, cell wall); protein, nucleic acid,+/- lipids, CHO's
 
Obligate intracellular parasites
 - Depend on host cell for reproduction
 - Animal viruses most commonly cultured in mice, embryonated chicken eggs, tissue culture
 
Vary in size (poxvirus 300nm, parvovirus 22nm)
 
Classified basis of shape (seen on electron microscope), nucleic acid core (genome), +/- envelope 
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Viral Envelope and Genome 

Definition
Envelope lipid membrane surrounding virus, easily killed by bleach, made inert by freezing/thawing
 
"naked virus" lacks envelope, more resistant: autoclave (steam sterilization and pressure), commercial viricidals
 
genomes, DNA or RNA, double or single stranded; if RNA, have reverse transcriptase to create DNA in host cell (oncogenes)
 
Some double stranded DNA can incorporate into host DNA, be replicated during mitosis: no C/S or cellular damage; latent;dormant until stress (age, ds, malnutrition, shipping, Sx, trauma), reemerges to  produces intact virions and ds  
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Viral Replication 

Definition
Attachement
 - virus portal entry: usually mucosa (resp., urogenital, GIT); rarely skin (insect vector)
 - Viral binding proteins attach to host cell membrane, determine spp. affected and type ds
 
Penetration-uncoating
 - produce enzymes, degrade host cell membrane, virus nucleic core exits its outer shell or capsid (uncoating) and enters host cell (penetration)
 
Replication
 - virus needs to produce thousands of copies of itself, but cannot do so on its own 
 - virus's nucleic acid redirects host cell DNA to ignor own needs, instead produces viral components (capsid fragments, viral nucleic acid); breakdown host cell membrane, triggers immune response, but virus hidden, already reproduced and released
 
Assembly-release 
 - viral components assemble in host cell, form virions, released as viruses: cell ruptures (lysogenic cycle) causing ds and clinical signs
 - viruses spread to neighboring cells, or shed in secretions, or enter systemic circulation (viremia) spreading throughout the body
 
Some viruses limited by temperature, host cell surface proteins (localized infections) 
 
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Viral Infections 

Definition
Apparent: causes ds and clinical signs (peracute to chronic)
 
Silent, nonapparent or subclinical. no overt signs, transient carrier state (persistently infected), difficult to ID
 
Predispose host to secondary ds (bacterial common), can be worse then primary virus
 
viral family names end in -viridae
 
viral genus names end in -virus 
 
not underlined or italicized 
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Sampling Techniques and Collection 

Definition
Analysis of samples done at reference lab, not always in time to treat animal; confirm DX or for epidemiology
 
Results only as reliable as quality of sample submitted and Hx provided (including Vx)
 
Virus most easily cultured just before or short time after onset of clinical signs
 
ID ds via Antibody titer: initial blood sample, recheck 2-4 wks later for rising titer
 
keep tissue specimens cool but do not freeze; fresh plasma or serum, or frozen serum okay 
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In-clinic lab testing

 

Definition
ID viral infection on basis of clinical Hx; submit specimen sample, immuno-reactivity, histopathology, advanced tests and electron microscopy
 
Fluorescent Antibody (FA) test
 - bovine brucellosis
 - specific antibody binds viral antigen
 - binding visualized as labelled with fluorescent dye
 
Enzyme-linked Immunosorbent assay (ELISA) test:
 -FeLV, parvovirus, HW
 - specific antibody adsorbed to plastic well; viral antigen in test blood sample added
 - another labelled antibody added; forms "sandwich" which produces colour change when substrate added
 
Latex agglutination (LA) test
 - feces for canine parvovirus, or bovine and porcine rotavirus
 - same principles as ELISA; antiviral antibody adsorbed to microscopic latex beads 
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Prevention of Viral Disease 

Definition
Health measures:
 - good hygiene
 - prompt disposal of dead animals
 - proper nutrition
 - clean and adequate water supply
 - reasonable population density to decrease stress
 - screening and quarantine new animals before introduction
 
Vaccinations (keep current)
 
Treatment to reduce effects on individual or herd 
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