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CLP 400
Flash cards for CLP 400
340
Veterinary Medicine
Not Applicable
01/23/2018

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What can be considered a lesion?
Definition
-Bruise
-Tumor
-Wound
-Abrasion
So basically can abrasion,excoriation,scratch,scrape,slash,bite,laceration or sore
Term
What is the role of the RVT when it comes to lesions?
Definition
A RVT must know how to collect samples from different lesions and how the proper terminology for charting
Term
What are the 4 broad categories when it comes to lesions?
Definition
-Erosive
-Surface
-Fistulous tract
-Generalized
Term
An erosion of skin or mucous (when its eating away at the tissue)
Definition
Ulcer
Term
What is an example of a decubitus ulcer?
Definition
bed sores
Term
Crack like sore
Definition
Fissure
Term
What are 7 examples of a surface lesion?
Definition
-papule
-macule
-scale
-plaque
-patch
-crust
-wheal
Term
Loca
Definition
Term
Small,raised skin lesions less than o.5 cm in diameter
Definition
Papule
Term
Flat,discolored lesion less than 1 cm in diameter (a change of color on the skin)
Definition
Macule
Term
Flake (often seen in older cats)
Definition
Scale
Term
Solid, raised lesion greater than 0.5 cm in diameter (appears red with no white cap)
Definition
Plaque
Term
Localized skin color change greater than 1 cm in diameter
Definition
Patch
Term
Collection of dried sebum and cell debris
Definition
Crust
Term
Smooth,slightly raised swollen area that itches (looks like a bunch of bumps all over the dog)
Definition
Wheal
Term
What skin condition are boxers famous for giving people
Definition
wheal
Term
What are 4 examples of fluid filled lesions
Definition
- Cyst
- Pustule
-Vesicle
-Bulla
Term
A closed sac or pouch containing fluid or semisolid material
Definition
Cyst
Term
What can a papule become?
Definition
pustule
Term
a small circumscribe (meaning it has well defined edges) elevation of skin containing pus
Definition
Pustule
Term
A circumscribed elevation of skin containing fluid that is less than 0.5 cm in diameter
Definition
Vesicle
Term
Can a vesicle be infectious?
Definition
Yup! so wear gloves
Term
What fluid filled lesion should we look for in sheep?
Definition
vesicle
Term
Large vesicle that is greater than 0.5 cm in diameter (basically a large blister)
Definition
Bulla
Term
An open tract that often drains from one area to another
Definition
Fistulous tracts
Term
What are some examples of fistulous tracts
Definition
-tooth root abscess
-anal gland abscess
Term
Covering the body in general, not in one specific location
Definition
Generalized lesions
Term
What are some examples of generalized lesions?
Definition
- hives
- sometimes wheal
-flea bite dermatitis
Term
What two examples of dental lesions you can often see?
Definition
1. Caries (cavities)
2. feline resorptive lesions
Term
What are 4 ways to acquire cytological samples?
Definition
1. Discharge
2. Lesions
3. Fluid
4. organ samples
Term
What are some samples of techniques we use to collect samples?
Definition
-scrapings
-swab
-impressions
-FNB (aspirate)
-FNB (non aspirate
Term
What does FNB stand for?
Definition
Fine needle biopsy
Term
Which technique is this describing?
non invasive, can do on a live animal, cost effective
Definition
Impression technique
Term
When do we use an impression technique?
Definition
-ulcerative superficial lesions
-tissue collected during sx (surgery)
-exudative superficial lesions
Term
Before doing a impression what other technique should we do?
Definition
You should do a FNB first to acquire deeper cells
Term
What kind of cells is am impression technique best for and what cells do they often yield.
Definition
Impression techniques often yield inflammatory cells (sometimes bacterial or fungal). The impression technique is best for determining if a bacterial or fungal infection is present.
Term
Read how to do an impression technique on page 4 of your notebook
Definition
okay :)
Term
Which is better Histology or cytology?
Definition
Histology is better because instead of seeing a group of cells you are seeing how the whole neighborhood interacts.
Term
Look up how to do a living sample superficial lesion (surgically excised sample) on page 5 of your notebook
Definition
okay :)
Term
Why do we blot the sample when doing a living sample (superficial lesion) surgically excised sample?
Definition
We blot to prevent hemodilution (when blood is diluting your sample)
Term
What is scraping ideal for?
Definition
Scraping is ideal for flat,dry,superficial lesions
Term
Is scraping ideal for identification of neoplastic cells?
Definition
No
Term
Look up scarping technique (page 6 of your note book)
Definition
okay :)
Term
You use oil when doing a scraping technique for parasites. Would you do this when scraping lesions?
Definition
You would not use oil when scarping for lesions
Term
When are swabs used?
Definition
Swabs are used for areas that we cant stick a scalpel in. For an example fistulas, vaginal or the ear canal
Term
When would you use sterile swabs?
Definition
Used for CNS (culture and sensitivity)
Term
Why do we use 0.9% saline for swabbing?
Definition
it is more comfortable for the animal and helps prevent rupture of cells
Term
What are the two types of FNB (fine needle biopsy)
Definition
Aspirate and non aspirate
Term
Aspirating cells into the needle itself, via negative pressure
Definition
Fine needle biopsy (aspirate)
Term
Cells move into the needle by movement (no VE (negative) pressure applied.
Definition
Fine needle biopsy ( non aspirate)
Term
When doing a FNB the rule of thumb is the ____ the tissue the ___ the needle gauge
Definition
The softer the tissue the smaller the needle gauge
Term
For doing a FNB if you had an unknown consistency of mass what kind of needle would you chose?
Definition
a 12 cc is a good choice for this situation
Term
read how to do a FNB (na) and FNB (a) on page 8 of your notebook
Definition
okay :)
Term
What do you do if you you are doing a FNB and peripheral blood?
Definition
If you see peripheral blood start again
Term
When doing a FNB how many samples should you take?
Definition
If the lesion size permits it take 2-3 samples to provide a representative sample
Term
What would you do if you are doing a FNB and you dont see any cells
Definition
still stain it
Term
Which slide preparation is the best technique for solid tissue samples/mixed samples and is ideal for when clumps are present
Definition
the squash/sandwich
Term
When doing the squash/sandwich slide technique should you be gentle or forceful
Definition
be gentle!
Term
Which slide preparation technique is ideal for samples with low viscosity and can be used for liquid samples with low cellulararity
Definition
Blood/wedge slide preparation technique
Term
What is the ideal slide technique if you want to leave a thick layer of fluid around the cells or have a sample with mix consistency.
Definition
The star fish
Term
Look up the diagrams for the slide samples techniques
Definition
okay :)
Term
Why do we use the tape technique?
Definition
Used for to gently collect superficial loose material
Term
What are the advantages and disadvantage to using tape?
Definition
Advantages: easy, fast,non invasive and little preparation required
Disadvantages: hard to stain, samples often contain gross debris and secondary contaminate
Term
What can the tape technique be used for?
Definition
Can be used for looking for yeast or bacteria in the skin and even to identify parasites
Term
Which sampling technique usually requires sedation or anesthetic and sutures or samples
Definition
Punch biopsy
Term
Which sampling technique is this describing? Put the tool in and twist, this way you get a core sample.
Definition
Punch biopsy
Term
Are punch biopsy tools a one time use or multiple use
Definition
Usually are a one time use (tools are often disposable)
Term
Are centesis consider invasive and does it require sedation?
Definition
Centesis is considered invasive and you may need sedation depending of the procedure and state of the animal
Term
What are combing and toothbrush techniques used for?
Definition
Used for flea dirt or oral cells
Term
When is plucking used?
Definition
Is used to isolate dermatophytes and is excellent to use when parasites are suspected
Term
What is the next step to take if an animal has chronic ear issues?
Definition
Send out a sample for culture and sensitivity
Term
If you are taking an ear sample should you wear gloves?
Definition
Yup! Many ear parasites are zoonotic
Term
Can you use sline slide for both ears?
Definition
For sure! Just make sure to indicate which sample belongs to which ear
Term
How would you fix cerumen to a slide and what is the benefit to this?
Definition
Cerumen can be fixed to the slide with heat. The benefit is that it melts it down so that you can see the cells easier. Also if you heat fix a sample you can directly go to step 2/3 of preparing a ear slide.
Term
Can you put tea tree oil in the ears of dogs?
Definition
You can not. This is super poisonous
Term
What is otitis exterma and what causes it?
Definition
Otitis exterma is overall inflammation of the outer ear. It is caused by allergies,parasites,foreign bodies,trauma,hormonal abnormalities,owner induced, hereditary or other immune issues
Term
What is polyps?
Definition
It starts in the inner ear and grows into the outer ear. It is a tumour.
Term
What is a symptom to look for that can indicate polyps?
Definition
A head tilt
Term
How do you deal with Polyps?
Definition
Can be surgically removed but this has risk of damaging facial nerves
Term
What are normal epithelial cells you would see in ears?
Definition
Keratinized or squamous
Term
How do squamous cells appear in an ear sample?
Definition
Look similar to in urine but can be a nuclear, basophilic or clear
Term
What bacteria is okay to see in the ear
Definition
1+ cocci os okay and occ-rare rods are okay
Term
What do you look at if you see bacteria in an ear sample?
Definition
-look at number
-look at morphology
-look at neighborhood (do you see wbc's doing thier job)
Term
At what lens do you look at stained ear samples?
Definition
Look at 40x
Term
What are two examples of 2 not normal things to see on an ear slide
Definition
RBC's and yeast
Term
What are the normal bacteria numbers for dogs in an ear sample
Definition
4-24 per field in dogs
Term
What are the normal bacteria numbers for cats in an ear sample
Definition
4-14 per field
Term
For reporting numbers of bacteria in an ear sample (on 100x) how would you report: rare to scattered
Definition
1+
Term
For reporting numbers of bacteria in an ear sample (on 100x) how would you report: many in every field
Definition
2+
Term
For reporting numbers of bacteria in an ear sample (on 100x) how would you report: difficult to count
Definition
3+
Term
For reporting numbers of bacteria in an ear sample (on 100x) how would you report: TMTC
Definition
4+
Term
What kind of yeast is normal to see in the majority of ears
Definition
malassezla spp
Term
What is the normal number of yeast seen in a dog ear sample
Definition
2-4 in dogs
Term
What is the normal number of yeast seen in a cats ear sample
Definition
2-11 in cats
Term
What are the common WBC's you would see on an ear slide?
Definition
normally neutrophils and macrophages
Term
what are the 3 layers skin?
Definition
1. Epidermis
2.Dermis
3.Hypodermis
Term
How many days are is skin turnover (when hair would grow back for a dog after shaving it)
Definition
22 days
Term
Are basal cells young or old?
Definition
They are young
Term
Are keratinocytes young or old?
Definition
they are old
Term
Skin cells that produce keratin (the tough fibrous waterproof protein that gives skin resiliency and strength)
Definition
Keratinocytes
Term
Merkel cells
Definition
These cells phagocize micro invaders
Term
Found in stratum spinous, may be involved in allergic and cell mediated immune responses in skin
Definition
Langerhan cells
Term
Found in stratum spinous, may be involved in allergic and cell mediated immune responses in skin
Definition
Langerhan cells
Term
What cell makes up 85% of the epidermis?
Definition
Keratinocytes
Term
What is the purpose of keratinocytes?
Definition
-protective
-antimicrobial
-immune response
Term
Why oral bacterial would we sometimes see due to licking?
Definition
Simonsiella sp
Term
What do melanocytes do?
Definition
Melanin (pigment) production. Looks like its covered in green,black or purple granules. Inject into keratinocytes and the pigment will spread around cells and absorb UV
Term
Were would you find Langerhan cells?
Definition
Sits inbetwen cells between layers,bone marrow
Term
What are cholesterol crystals?
Definition
-Crystals that dissolve as a slide was prepared/ Dissolution of keratin.
Term
Were would you see cholesterol crystals?
Definition
is common in sebaceous cysts or abdominal infusions
Term
What are examples of dermis (spindle cells)
Definition
-fibroblasts
-macrophages
-mast cells
-hypodermis
Term
What do fibroblasts do?
Definition
-wound healing
-collagen fibers
-fibrocytes
Term
What are mast cells a response to?
Definition
is an inflammatory response
Term
What are mast cells granules made of? is made of histamine
Definition
Term
When classifying what would you say if there is an absence of WBC's but presence of micro organisms
Definition
you would say that it is an infection
Term
When classifying what would you say if there is WBC's present?
Definition
You would say that it is an inflamation
Term
How would you classify an ear swab with revealed yeast?
Definition
it would be infection,mycotic
Term
How would you classify a swab that has revealed +++ bacteria (rods and cocci)
Definition
it would be infection septic
Term
How would you classify a swab of a skin fold that has revealed ++ bacteria and + yeast?
Definition
Infection,mycotic,septic
Term
What does septic mean?
Definition
Bacteria is present
Term
What does mycotic mean?
Definition
there is yeast present
Term
What are the 3 steps to classification of inflammation?
Definition
1. identify the sample as inflammatory or infection
2.classify your sample into one of the 5 forms of inflammation
3.then sub classify
Term
When would it be an purulent inflamation?
Definition
This is when it would have more than 70% neutrophils
Term
Is a purulent infection acute or chronic?
Definition
its acute because it is the newest kind of inflammation (neutrophils usually only last 4 days)
Term
What is the most common cause for a purulent inflammation?
Definition
bacteria
Term
When would you classify an inflammation as granulomatous?
Definition
When the cells are 50% or more macrophages
Term
Is a granulomatous inflammation chronic or acute?
Definition
it is chronic. Macrophages last longer than neutrophils
Term
What can cause sudden granulomatous inflammation?
Definition
-tissue necrosis
-mycobacterium so
- FIP
Term
What is granulomatous inflammations relation to FIP?
Definition
FIP uses the macrophages to further inflammation to replicate
Term
What is erythrophagocytosis?
Definition
a macrophage eating RBCs
Term
What is hemophagocytosis?
Definition
When a macrophage eats wbcs
Term
What cells would you see with a pyogranulomatous inflammation?
Definition
its a mixed inflamation so you would see a mix of neutrophils and macrophages
Term
What % mix of neutrophils and macrophages would you see with a pyogranulomatous inflammation?
Definition
less than 70% neutrophils and 15-50% macrophages
Term
What two categories or inflammation can have the same sudden onset?
Definition
Granulomatous and pyogranulomatous inflammation can both have the same onsets (necrosis,myobacterium sp and FIP)
Term
What other cells can you often see with a pyogranulomatous inflammation?
Definition
you can see giant cells and epitheloid cells
Term
What % of eosinophils must be present for it to be considered an eosinophilic inflammation?
Definition
10-20% of the cells must be eosinophils
Term
If a inflamation sample had 20% eosinophils and 75% neutrophils and 5% lymphocytes what would you classify this as?
Definition
You would classify it as an eosinophilic inflammation
Term
What often causes eosinophilic inflamation?
Definition
allergic reactions as well as parasite reactions
Term
What type of tumour should we look for when we see an eosinophilic inflammation?
Definition
we should look for mast cell tumours (these can cause eosinophilic inflamation)
Term
What condition with felines should you look for if the cat has eosinophilic inflammation?
Definition
look for eosinophilic granuloma complex (looks like a red crust often on thier upper lip)
Term
What % of lymphocytes must you see to classify it as a lymphocytic inflammation
Definition
10-20%
Term
Is a lymphocytic inflammation chronic or acute?
Definition
they are chronic
Term
What can cause sudden lymphocytic inflammation?
Definition
Can be causes by a vaccine reaction (fibrosarcoma)
Term
What samples is it common to see lymphocytic inflammation?
Definition
a vaccine reaction, abdominal effusions,plasma cells found in GI villi
Term
What two inflammations does step 3 of classification apply to?
Definition
Purulent and pyogranulomatous
Term
match the classification of degeneration: cell is breaking down and loses its shape and edventually the nucleus fades
Definition
Karyolysis
Term
match the classification of degeneration: when it becomes a small singular skrinken ball
Definition
pyknosis
Term
match the classification of degeneration: is a nucular fragment, looks like the nucelus has become a bunch of tiny balls
Definition
karyorrhexis
Term
Is hypersegmentation a stage of degeneration?
Definition
No, its a normal stage of aging
Term
What is an example of an parasitic infection in an inflammation?
Definition
Dirofilaria
Term
What is an example of an bacteria infection in an inflammation
Definition
staphylococcus sp
Term
What is an example of an mycotic/fungal infection in an inflammation?
Definition
malassezia sp
Term
When monocytes go into the tissue they become...
Definition
macrophages
Term
How would neutrophils look in a sample?
Definition
Look like they do in blood except when the animal is sick. Then thier morphology changes
Term
Do neutrophils have a capacity for long term battle?
Definition
no, they usually only last 1-4 in the tissue
Term
What are plasma cells?
Definition
Plasma cells are lymphocytes that have transported when meeting an antigen to release antibodies
Term
Where are plasma cells often seen?
Definition
Are often seen in the GI tract
Term
What are mott cells?
Definition
Mott cells are plasma cells that are carrying immunoglobulin vesicles for release (is an immune response)
Term
What do mott cells look like?
Definition
They look like they are covered in bubbles. These bubbles are called russell bodies.
Term
How would you identify a plasma cell compared to a lymphocyte?
Definition
Plasma cells have a perinuclear clear zone and more cytoplasm then a lymphocyte
Term
How would you identify a macrophage?
Definition
Macrophages can take lots of shapes. They are large (can be 2X the size of a normal WBC), moderate amount of basophilic cytoplasm, nucleus is often oval,chromatin is lacy to condensed
Term
What do macrophages do?
Definition
They phagocytize bacteria (they are the second line of defense)
Term
If taken from the respiratory what appearance will macrophages take on?
Definition
they will take on a foamy appearance
Term
What other forms of macrophages may you see?
Definition
you may see epithelioid cells or giant cells
Term
You see a giant cell that looks reactive and has many nuceoli. What is this?
Definition
This is a giant inflammatory cell
Term
How would you identify a mesothelial cell?
Definition
These cells have a round nucleus, can be multinucleated but the most identifying feature is thier fringe
Term
What parts of the body do mesothelial cells line?
Definition
linings of the pleura,pericardial and abdominal
Term
Border can look like a drippy ice cream cone or look like 2 fried eggs stacked ontop of each other. What type of cell is this describing?
Definition
Mesothelial cells
Term
Can RBCs be part of the inflammatory response or can they be present as an artifact?
Definition
actually they can be both :)
Term
T/F erythrophagocytosis can indicate the length of the time the blood has been present
Definition
true
Term
Absence of color (often seen in abdominal fluid)
Definition
proteinaceous
Term
What are two things that can make up a granular background?
Definition
-ruptured mast cells (free histamine granules)
-ruptured melanocytes (free melanin in the background)
Term
How long does proestrus last for?
Definition
9 days
Term
What behavioural signs would see in males and females in proestrus
Definition
Males will show interest but females will not receive
Term
What are physical signs the vagina will produce if the female is is proestrus
Definition
vulvar edema and blood discharge
Term
What gland releases the follicle which stimulates FSH to start follicle production?
Definition
the pituitary gland
Term
What hormones will the ovary release?
Definition
estrogen and progesterone
Term
What hormone does the brain release to cause the follicle to burst and release the egg
Definition
the luteinizing hormone
Term
When progesterone is released by the ovary what does it do?
Definition
it helps prepare the uterus for fetal development
Term
What hormone will you see increase in the proestrus stage?
Definition
You will see increased estrogen
Term
What stage will you see the LH (luteinizing hormone) surge?
Definition
estrus
Term
Why is it important for an RVT to know when estrus occurs?
Definition
A RVT must know when estrus for breeding and spaying
Term
What hormone increases in estrus and what hormone decreases?
Definition
Estrogen decreases and progesterone increases
Term
What behaviour would a female show when they are in estrus?
Definition
the female will accept the male and +/- lordosis (the female presenting themselves to the male )
Term
How long does estrus last for?
Definition
estrus lasts for 9 days
Term
What signs would the vagina show in he estrus stage
Definition
decreased vulvar edema and discharge is now more clear or straw colored
Term
What stage does pyometras usually occur?
Definition
Occurs during Diestrus
Term
How long does diestrus last for?
Definition
60 days
Term
What hormone increases during diestrus?
Definition
progesterone increases
Term
What behaviour will a female show when they are in diestrus?
Definition
they will no longer accept males
Term
What physical signs will a female show when they are in Diestrus?
Definition
they will produce very little discharge and it will be clear with little to no edema
Term
At what stage of estrus can you see pseudopregnancy?
Definition
Diestrus
Term
Do animals shed thier uterine lining?
Definition
they dont
Term
How long does anestrus last?
Definition
Anestrus lasts a min of 4.5 months
Term
What hormone decreases would you see in anestrous?
Definition
a sharp decrease in progesterone
Term
What are the symptoms of pyometra?
Definition
-increased temp
-lethargic
-throwing up
Term
At what stage will the animal be pregnant?
Definition
they will be pregnant during diestrus
Term
A cat is showing odd behaviour such as wanting to be pet on the butt and being very vocal. What could this indicate?
Definition
This usually indicates that they are in estrous
Term
What animals are short day breeders?
Short day is during the fall and winter
Definition
sheep,goats,deer,elk
Term
What animals are long day breeders?
Long day: Spring and Summer
Definition
Horses,hamsters,ferrets
Term
Seasonally polyestrous describes what domesticated species?
Definition
Equine
Term
How long does an equines estrus last for?
Definition
5-7 days
Term
What hormone increases during the estrus period for an equine?
Definition
estrogen increases
Term
When does ovulation occur for a horse?
Definition
Ovulation occurs between the last 24-48 hrs of estrus
Term
How long does an equines diestrus last for?
Definition
14-15 days
Term
What hormone increases during the diestrus period for a horse?
Definition
progesterone increases
Term
When will a mare become receptive to a stallion?
Definition
During diestrus
Term
Why would we take a sample from a vagina?
Definition
to check for inflammation,pyometra and estrus
Term
Read how to collect a vaginal sample on page 36
Definition
okay :)
Term
What does PISA stand for?
Hint: these are cells you can see when examining a vaginal smear
Definition
P: Parabasal
I: Intermediate
S: Superficial
A: Anuclear
Term
What vaginal cell is this describing?
- small,round,oval cell
- uniform in shape
- young
- dominate in anestrus
Definition
parabasal cell
Term
What vaginal cell is this describing?
- cell is roughly twice the size of a parabasal cell
- nuclei is smaller
- is the first step in cell death
- is dominant in anestrus,proestrus and estrus
Definition
Intermediate cell
Term
How can intermediate cells appear?
Definition
1: small: cell is starting to change shape, is less round
2: large: cell edges start to fold over,taking agranular, healthy nuclei,round, flatter cells
Term
What vaginal cell is this describing?
-largest epithelial cell
-are dying but not dead yet
-stain poorly
-cell getting flatter,larger during death
-most abundant during estrus
Definition
Superficial cells
Term
What vaginal cell is this describing?
-the end of keratinization of parabasal cells
-the largest cell you will see on the slide
-no visible nucleus
-irregular cell edges (folded)
-most abundant in estrus
Definition
Anuclear cells
Term
What vaginal cells are the best to use in order to tell if an animal is in estrus?
Definition
Superficial cells and anuclear cells
Term
Which stage is it common to see RBC's?
Definition
It is common to see RBC's in proestrus since this is when the bloody discharge happens
Term
What vaginal cell is this describing?
-large intermediate cells
-emperipolesis (just passing through dont often phagocytize)
-usually seen during diestrus
Definition
Metestrus cells
Term
What vaginal cell is this describing?
-parabasal or intermediate cell with vacuolated cytoplasm
-seen in diestrus/anestrus
-rarely seen in proestrus
Definition
Foam cells
Term
What cells will you see in:Proestrus
Definition
-parabasals
-intermediate
-superficial
-early neutrophils
-RBCs (because of the bloody discharge)
Term
What cells will you see in: Estrus
Definition
-greater than 90% superficial cells
-no neutrophils
-+/- RBC's
-+/- bacteria
Term
What cells will you see in: Diestrus
Definition
-50% superficial cells
-50% parabasals
-intermediate cells
Term
What cells will you see in: Anestrus
Definition
-parabasals
-intermediates
Term
Neoplasia
Definition
is the formation of neoplasm
Term
What can neoplasm be?
Definition
1. a tumor
2. any new and abnormal; growth,specifically one which the cell multiplication is uncontrolled
Term
T/F neoplasms may be benign or malignant
Definition
true
Term
An unusual growth of cells that DO NOT destroy surrounding normal tissue
Definition
benign
Term
How do benign cause damage if they dont destroy local tissue?
Definition
Benign tumors can impair tissue function by just thier presence
Term
What is an example of a benign tumor?
Definition
lipomas
Term
Cells that display uncontrolled growth are capable pf destroying local tissue
Definition
malignant
Term
How do malignant cells spread?
Definition
metastasis is how cancer cells spread from the site of the primary tumor to a secondary location
Term
If someone asks you 'are there mets' while looking at a radiograph what would this mean?
Definition
they are asking if there are signs of metastasis
Term
The lymph nodes and the lungs are common for what when it comes to tumors?
Definition
they are common places for tumors to metastasis to
Term
How would you define cancer?
Definition
-uncontrolled growth of cells on or within the body
- other terms used for cancer include: tumor,mass,neoplasm and growth
Term
What can cancer also be refereed to as?
Definition
cancer can also be refereed to cells that would not normally be present
Term
How would you get a sample for a cutaneous tissue masses and lymph nodes if you are testing for cancer?
Definition
you would test with fine needle aspirate
Term
When would you do a bone marrow aspirate?
Definition
you would do this when blood cell abnormalities are seen in peripheral blood
Term
What would you do if an animal has multiple swollen lymph nodes?
Definition
try to take as many samples as possible if you can from the different lympth nodes. The largest one does not necessarily mean its the best one to sample
Term
What stain would you use if you are sampling from a mass cell tumour
Definition
methylene blue stain
Term
What stains besides methylene vlue can we use to test for cancer samples?
Definition
-Romanowsky
-wrights stain
Term
What is histopathology used for?
Definition
is used to develop a definitive diagnosis
Term
T/F when testing for cancer any mass that is removed should be submitted for histopathology
Definition
true
Term
Which will get you more immediate responses cytology or histopathology?
Definition
histopathology
Term
t/f histopathology determines treatment and prognosis
Definition
true
Term
What are the 3 kinds of neoplasia tumor types
Definition
-epithelial cell
-round cell
-spindle cell
Term
What kind of tumor is this describing?
General size: large
general cell shape: round to caudate
cellularity of aspirates: usually high
clumps or clusters: yes
Definition
epithelial
Term
What kind of tumor is this describing?
General size: small to medium
general cell shape: spindle to stellate
cellularity of aspirates: usually low
clumps or clusters:no
Definition
mesenchymal aka spindle cells
Term
What kind of tumor is this describing?
General size: small to medium
general cell shape: round
cellularity of aspirates: usually high
clumps or clusters: no
Definition
discrete/round cells
Term
cellularity of aspirates means?
Definition
how well they adhere to each other and exfoliate
Term
What parts of the body are involved with epithelial tumors
Definition
these tumors are incolved with the skin itself, glands or hair follicles
Term
How do epithelial tumors tend to look
Definition
tend to be round in shape and the cells attach to one another in sheets or in clumps
Term
what do the nuclei look like in epithelial tumors?
Definition
nuclei are round to oval in shape
Term
What are examples of epithelial tumors?
Definition
-papillomas
-squamous cell cacinoma
-basal cells
-sweat gland tumors
-perionam tumors
-transitional cell carcinoma
Term
You see old epithelial cells which have not lost thier cytoplasm. What could this indicate?
Definition
this could indicate the sample is malignant
Term
You see a change of size with the nucleoli. What could this mean?
Definition
this could indicate the sample is malignant
Term
Were do mesenchymal tumors start ?
Definition
they start from cells that surround or support the skin such as fat,connective tissue,blood vessels and nerves
Term
Do the cells of mesenchymal tumors have well defined membranes or poorly defined membranes?
Definition
poorly defined (especially when compared to epithelial tumors)
Term
T/F mesenchymal tumors have cells that are not usually round, unlike epithelial or round cell tumors
Definition
true
Term
What kind of tumor would have spindle shaped cells (tapered at both ends), polygonal or dendritic
Definition
mesenchymal tumors
Term
T/F mesenchymal tumors are often loose and not seen in sheets or clumps
Definition
true
Term
What are examples of mesenchymal tumors
Definition
-limpomas
-fibrosarcomas
-hemanjiosarcoma
Term
Were is it really common to have hemangiosarcomas?
Definition
on the spleen or anywhere a blood vessel is formed
Term
What are examples you would be seen round cell/discrete cell tumors?
Definition
-mast cell tumors,lymphoma,lymphosarcoma,histiocytomas,melanoma,plasmacytomas,histiocytic neoplastic,transmissible venereal tumors (CTVT)
Term
What would you classify melanoma as?
Definition
Melanoma is a shape shifter. Depending on what tissue they are developing in they will change thier appearance
Term
T/F mast cell tumors have a grading system in place for degree of malignancy
Definition
true
Term
What would be a grade 1 for a mast cell tumors malignancy
Definition
well differentiated,generally well defined,superficial,low mitotic index
Term
What would be a grade 2 for a mast cell tumors malignancy
Definition
moderately well differentiated,moderate poorly circumscribed,mild to moderate onfiltrative into deep dermal tissue,moderate mitotic index,potential slight cytomorphological atypical
Term
What would be a grade 3 for a mast cell tumors malignancy
Definition
potentially poorly differentiated,poorly circumscribed,deep infiltration into subcutoneoyus tissue,potential high mitotic index,potential moderate cytomorphological atypical
Term
Why do veterinarians take fairly large margins around the lumps?
Definition
to make sure that there is no cancer cells hiding in the healthy parts of the area. It happens more then you would think
Term
What can you tell me about transmissible venereal tumours?
Definition
they are one of the oldest cancers of the world. It is also a transmissible cancer. The other cancer in this category is the devil facial tumor disease (DFTD)
Term
Were are transmissible venereal tumours are most often seen?
Definition
most often seen in tropical areas
Term
How do histiocytomas look compared to lymphocytes
Definition
histiocytomas look like lymphocytes but have more cytoplasm. They have a nice round purple nuclei and are uniform in size.
Term
Describe a histiocytic lesion
Definition
look like button (little flat but raised balls)
Term
Where are histiocytic lesions most commonly seen
Definition
are often seen on legs and abdomen
Term
What is the generalized form of histiocytic lesions?
Definition
cutaneous histiocytesis
Term
What problems do systemic histiocytosis create and what species do they most commonly affect
Definition
they create lesions inside in soft tissue all throughout the body. Common to bernese mountain dogs
Term
Do systemic histiocytosis cause pain?
Definition
systemic histiocytosis does cause pain (they eat away at the skin)
Term
What type of lesion can make a dog look like they are out of a cartoon
Definition
histiocytic lesion
Term
What does a naked nuclei mean?
Definition
means there is no cytoplasm
Term
Is a naked nuclei a diagnosis reference for neoplasia?
Definition
no
Term
What should you do if your sample has a lot of naked nuclei?
Definition
you should make a new sample and double check. Naked nuclei can happen from rupture or improper handling
Term
What sample is it common to see many naked nuclei?
Definition
thyroid tumour
Term
What does the prefix of tumours usually indicate?
Definition
they usually indicate the tissue of origin
Term
OSTEOsarcoma. The Osteo means?
Definition
that it is a tumor of the bone
Term
What does the suffix of tumours usually mean?
Definition
indicates whether they are benign or malignant
Term
What does the suffix oma mean?
Definition
means that it is benign
Term
FibroOMA: what does the oma part mean
Definition
means that is is a benign tumour of (fibro) fibrous connective tissue
Term
What does the suffix sarcoma and carcinoma mean?
Definition
means that the tumor is malignant
Term
fibrbroSARCOMA: what does the the sarcoma mean?
Definition
the sarcoma means that it is a malignant tumor of (fibro) which means fibrous connective tissue
Term
What tumor is this describing?
-epithelial cell tumours
-arises from epithelial tissue
-spreads through both lymphatic systems and blood stream
-regional lympth nodes and lung metastasis are common
Definition
carcinomas
Term
What tumor is this describing?
-spread throughout the blood stream
-lympth nodes metastasis is rare
Definition
sarcomas (mesenchymal/spindle cell tumours)
Term
Why do we do tumor tracking/grading?
Definition
helps to predict tumour behavior and prognosis
Term
How is tumor tracking/grading defined?
Definition
is defined as microscopically on histopathology
Term
What would a low grade be for tumor tracking/grading?
Definition
well differentiated tissue structure,slow cell division,minimal tissue invasion of normal tissue
Term
What would a high grade be for tumor tracking/grading?
Definition
undifferentiated tissue structure,rapid cell division (many mitotic fissures) and aggressive invasion of normal tissue
Term
How is staging of a tumor done?
Definition
is done by a vet according to the physical characteristics of the tumor and diagnostic test results
Term
Tumor staging uses the TNM system. What does TNM represent
Definition
T= features of the tumor at the primary stage
N= regional lymph node involvement
M= metastasis
Term
What are early signs of cancer?
Definition
-abnormal swelling that persists and grows
-sores that dont heal
-weight loss
-loss of appetite/difficulty eating or swallowing
-bleeding/discharge from body openings
-offensive odour
-persistent lameness/stiffness
-hesitation to exercise/loss of stamina
-difficulty urinating,breathing,defecating
Term
Look at criteria of malignancy on pg 55
Definition
okay :)
Term
What should you always consider when looking at nuclear cytoplasm ratios?
Definition
do not look at the size difference but instead look at the ratio of the cytoplasm to nucleus
Term
When are nucleoli considered macronucleoli if they are greater than _____
Definition
5 cm
Term
What is pleomorphism?
Definition
is similar to anisocytosis. It is a change of size and shape of the SAME cell type. This is a sign of chancer
Term
What is nuclear molding?
Definition
two nucleus molded on top of teach other (like a double egg yok)
Term
Can mitotic figures also be a sign of neoplasia?
Definition
yes
Term
Criteria of malignancy: Which is more reliable

a)prominent or multiple nucleoli (if numbers are not variable)
multinucleation displaying all nuclei as the same size
normal mitoses (seen in rare numbers in the same sample)

b) nucleoli are different sizes in the same cell
multinucleatia (the nuclei displaying anisocytosis
striking cellular anisokaryosis
Definition
b is more reliable
Term
Complete investigation of the respiratory systems involve more than cytology. They can also involve
Definition
-x-rays
-endoscopy
-otoscopy (nasal,aural,oral)
-gross examination
Term
What are indications that we might need to take a sample from the nose?
Definition
-nasal discharge
-patient discomfort
-changes in breath sounds
-visible masses or lesions on the nose
Term
When is it normal for cats to have serous discharge (clear discharge) coming out of thier noses?
Definition
It is normal to see when they are purring alot
Term
Do tumors and lesions always warrant sampling?
Definition
yes
Term
What kind of sampling techniques can we use when it comes to the nose?
Definition
-biopsy (if visible masses)
-FNA/FNB (if visible masses)
-nasal flush/larvage
-swabs (limited but can be useful)
Term
What secondary issue can nasal discharge indicate?
Definition
It can indicated a tumor blocking a path
Term
What cytology will you expect to see in a nasal sample?
Definition
-epithelial cells (squamous)
-bacteria
-basal epithelial (look like parabasals)
-ciliated columnar epithelial cells
Term
From what part of the body can you expect to see ciliated columnar epithelial cells?
Definition
upper respiratory
Term
Why do ciliated columnar epithelial cells have a fringed border?
Definition
ciliated columnar epithelial cells have a fringed border in order to propel bacteria away (its a defensive technique)
Term
It it normal to find some bacteria in the nasal passageways?
Definition
yes
Term
Is it normal to see fungal hypane in the nasal passageways?
Definition
no
Term
What fungal based organism can cause magior lung infection in dogs?
Definition
Blastomyces
Term
A dog owner from the georgian bay area brings in a hound who loves to sniff. The hound has a severe lung infection, skin lesions and even bone lesions. What is the most likely cause of this?
Definition
Blastomyces. This is a fungal based organism that dogs pick up by sniffing contaminated soil. It is common in the georgian bay area
Term
What are indications that you should take a sample from the pulmonary tract?
Definition
-inflammation
-infection (parasitic,bacterial,fungal,yeast)
-allergies
-neoplasia
-foreign bodies
Term
What are 4 ways to collect samples from the pulmonary tract?
Definition
1. Bronchoscopy
2. Tracheal wash technique
3.Bronchial brushes
4. FNA of masses
Term
Read the sections on pulmonary sampling in notebook pg60-61 and 65-66 and watch videos
Definition
okay :)
Term
What can a tracheal wash help differentiate?
Definition
-infectious conditions
-hypersensitive reactions
-neoplastic conditions
Term
What are possible complications of the tracheal wash technique?
Definition
-hemorrhage
-hypoxia
-subcutaneous emphysema
Term
What supplies are needed for a tracheal wash?
Definition
-syringe (12CC) containing saline
-10-14 gauge catheter
-lavender top tube
-red top rube
-glass slides
Term
Which tracheal wash technique would be better for a small dog?
Transcutaneous or endotracheal?
Definition
Endotracheal
Term
What kind o tube do we use when sending out for culture and sensitivity? What about when we want to preserve the cytology?
Definition
Red top tube= culture and sensitivity
Lavender top tub= preserving the cytology
Term
Can you do a quantitative count on a sample collected via tracheal wash?
Definition
no (since extra fluid has been added)
Term
What cells would you expect to see from a pulmonary tract sample?
Definition
-ciliated and non ciliated epithelials
-neutrophils
-macrophages
-eosinophils
-lymphocytes
-mast cells
Term
Were are ciliated columnar cells most often seen?
Definition
upper respiratory
Term
What is more common to see a squamous with bacteria. The upper respiratory or the mouth
Definition
the mouth
Term
Is inflammation a normal sighting in pulmonary samples?
Definition
yes
p.s inflammation is common in chronic bronchitis
Term
How will macrophages from the respiratory tract look?
Definition
will look froafy and vaculated
Term
What kind of inflammation is common to see when an animal has asthma?
Definition
eosinophilic
Term
What can a moth eaten look to the lungs on a radiograph indicate?
Definition
Blastomyces sp
Term
On a radiograph an animals stomach is full of air. What can this mean?
Definition
respiratory distress
Term
What are indications we should take a sample from the mouth?
Definition
-un usual smell
-discharge
-excessive drooling
-difficulties eating
-painful patient
-change in behavior
-excessive or unusual mouth movements
Term
What sampling techniques do we want to use for the mouth?
Definition
-FNA/FNB
-Biopsies
-Swabs
Term
What cells would you expect to see from a mouth sample?
Definition
-epithelial cells(squamous,columnar),fibrocytes (spindle,thin).fibroblasts,salivary glands,epithelial (cuboidal,columnar),bacterial
Term
What can swelling be caused by?
Definition
can be caused by: inflamation,infection,neoplasia,NNNi ect
Term
In what cause would it be common to see lymphocytes in a mouth sample?
Definition
if tonsils were part of the sample)
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