04 clinical pathology

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04 clinical pathology

  1. 1. Clinical Pathology
  2. 2. Clinical Pathology Located in Room 2020 Full service laboratory Hematology, clinical chemistry, urinalysis, cytology, coagulation, blood bank Provide 24 / 7 service Daytime M-F: 8:00 am – 9:00 pm Weekends Sat and Sun: 8:00 am – 11:00 pm After hours: On call night technicians
  3. 3. Administrative Darla Montalvo Emily Kearney
  4. 4. Technical Daytime Myriah Vineyard Barbara Dott Elaine Nicholds Al Brant Catherine Samway
  5. 5. Technical After Hours Wendy Browning Chase Ratliff Jeri Grotberg Amber Ducote Courtney Duncan Melanie Aschenberg Marty Moore Heidi Ertresvaag Not pictured
  6. 6. Pathology Residents Dr. Angela Wilcox Dr. Seth Chapman Dr. Mary Nabity
  7. 7. Pathologists Dr. Mark Johnson Dr. Shashi Ramaiah Dr. Karen Russell
  8. 8. What We Do Clinical Service Research Support Residency Training Teaching
  9. 9. What We Do Laboratory support for Clinics and Research Hematology (8,200 samples) Clinical Chemistry (10,000 samples) Cytology (1,600 samples) Urinalysis (2,500 samples) Coagulation (2,100 samples) Blood Bank (350 samples) Central receiving for outside labs Send-out laboratory (6,200 samples)
  10. 10. What We Do Residency Training “ The goal of the resident training program in veterinary pathology is to provide veterinarians with the necessary background and knowledge to pursue successful careers in veterinary pathology .” Generally have 2 - 4 residents 3 year program for clinical training Teaching Clinical service Graduate courses An additional 3 - 4 years to complete a PhD
  11. 11. What We Do Residency Training, con’t Since ~1995 7 (past) residents + 3 (current) residents 6 / 7 are ACVP Diplomates 2 / 7 have received a PhD Where are they now? Academia (TAMU, Purdue, Auburn, MD Anderson) Industry (Eli Lilly) Referral Labs (IDEXX)
  12. 12. What We Do Teaching 4 th year veterinary students (2-week rotation) 3 rd year veterinary student elective 2 nd year veterinary students General Pathology VTPB 922 Systemic Pathology VTPB 923
  13. 13. What We Do “ Laboratory Visitors” Rotations in the laboratory (~ 1 - 4 wks) Interns, residents, faculty 28 Texas A&M 22 Other US universities 4 International universities 2 Technicians 1
  14. 14. For More Info and How to Contact Us Main Lab Number (979) 845 - 9180 http://www.cvm.tamu.edu/clinpath/
  15. 15. Clinical Immunology Infectious Agents Immune-Mediated Phenomena
  16. 16. Clinical Immunology Monthly Tests 2005 2006 Heartworm 63 53 EIA (Coggins) 46 37 FeLV/FIV 14 13
  17. 17. Clinical Immunology Other Tests: Infectious Agents Virus: EIAV (ELISA) FeLV (ELISA) Feline Heartworms Antibody (ELISA) Antibody + Antigen (ELISA) Fungal Blastomyces dermatitdis (AGID) Coccidioides immitis (AGID) Cryptococcus neoformans Antigen Histoplasma capsulatum (AGID) Fungal AGID (4 Fungi)
  18. 18. Clinical Immunology Other Tests: Immune-Mediated Process Coombs Antinuclear Antibody LE Prep
  19. 19. Clinical Immunology Future? Flow Cytometry Immunophenotyping (Leukemia) Reticulated Platelet Count Reticulocyte Count Immune-Mediated Phenomena: Platelet-Associated Immunoglobulin Erythrocyte-Associated Immunoglobulin
  20. 20. Clinical Immunology Immunophenotyping? Canine Undifferentiated Myeloid Leukemia Mature Neutrophils
  21. 21. Clinical Immunology Reticulated Platelets / Reticulocytes ?
  22. 22. Clinical Immunology Reticulated Platelets / Reticulocytes ? responded to therapy no bone marrow analysis available Immune-Mediated Thrombocytopenia
  23. 23. Clinical Immunology Reticulated Platelets / Reticulocytes ? azathioprine therapy 2° pneumonia  euthanasia bone marrow: hypoplasia Myasthenia Gravis
  24. 24. Clinical Immunology Surface Immunoglobulin?
  25. 25. Clinical Immunology Future? Molecular Diagnostics Clonality by PCR (Lymphoma/Reactive)
  26. 26. Clinical Immunology Infectious Agents Immune-Mediated Phenomena More?
  27. 27. Clinical Microbiology
  28. 28. Clinical Microbiology Where we are: Located in 2015 VMTH Laboratory hours 8-5, Monday-Friday; 9-noon on Saturday Student worker on call at 412-3336 (old pager not functioning) Dr. Libal cell 218-0520 home 764-3940
  29. 29. Clinical Microbiology Who we are Rosa Gonzalez- Laboratory supervisor Elizabeth Fernandez- Technician Kay Duncan- Technician ½ time Todd Stewart- student worker Lane Roasa- on call/student worker Melissa C. Libal
  30. 30. Kay Duncan
  31. 31. Rosie Gonzalez
  32. 32. Todd Stewart
  33. 33. Lizzie Fernandez
  34. 34. Clinical Microbiology What we do Clinical service Teaching Research support Residency training
  35. 35. Clinical Service 2005 Bacterial cultures- 3726 Susceptibility testing- 2647 Fungal cultures- 170 Environmental cultures of large and small animal clinics- 6243 Clostridium toxin testing- 91
  36. 36. Teaching Senior veterinary student rotations Undergraduate
  37. 37. Other Research support Antimicrobial resistance Johnes Epidemiology of infectious disease Residency program Goal Graduate degree ACVM boards
  38. 38. Newly acquired equipment Bactron I anaerobe hood Increase quantity/quality of anaerobic culture capability Trek (Sensititre) MIC system testing on food animal pathogens testing on small animal/equine pathogens for veterinary drugs Research capability
  39. 39. Clinical Parasitology
  40. 40. Clinical Parasitology what we are A lab designated to the diagnosis of parasitic disease in vertebrate hosts Aid in evaluation of animal wellness programs Aid in research programs
  41. 41. Clinical Parasitology who we are Craig, Cyr, Holeman, Snowden Whagela, Wagner ElGayar, Smith
  42. 42. Clinical Parasitology What We Do Located in Room 320 VMA Laboratory diagnosis of parasitic Helminths Protozoa Arthropods Provide service Daytime M-F: 8:30 am – 5:00 pm After hours:by arrangement
  43. 43. What We Do Laboratory support Clinics and Research projects Fecal examinations Blood examinations Serology, PCR (limited) Tissues, worm counts, identification Consultation 1 – 5 telephone calls / day veterinarians, general public, extension, industry
  44. 44. Clinical Parasitology Who We Work For Clinical Service: teaching hospital TVMDL veterinarians Research Support: CVM TAES other Teaching students producers
  45. 45. What We Do Teaching 4 th year veterinary students (2-week rotation) 2 nd year veterinary students Parasitology VTPB 920 Graduate students Helminthology VPAR 601 or Protozoology VPAR 604
  46. 46. Immunopathology/ Histopathology Service
  47. 47. Personnel Dr. Andy Ambrus Supervisor: Immunopathology lab Rosemary Vollmar Supervisor: Histopathology lab
  48. 48. Personnel Susan Hernandez Histotechnician/ Immunotechnician Chaitali Mukherjee Histotechnician Allison Tewell Student worker
  49. 49. Personnel Shannon Davis Dawn Currin Cheryl Chamblee Sharon Dickerson
  50. 50. Mission To supply histopathology and immunopathology support to the VTH, pathology services, and research components at TAMU
  51. 51. Goals To provide rapid as possible turn around times for diagnostic and research histopathology specimens To provide quality specimens for all services To provide accurate immunostaining for challenging diagnostic cases and research interests
  52. 52. Laboratory Accessions 05 Total Procedures 22,573 Total Proc/Emb/H&E 13,461 Total Special Stains 2,575 Total Immunopathology Procedures 1,572
  53. 53. Histology
  54. 54. Immunohistochemistry
  55. 55. Immunocytochemistry
  56. 56. Immunocytochemistry
  57. 57. Anatomic pathology Necropsy Surgical pathology Dermatopathology Orthopedic pathology
  58. 58. Surgical pathology
  59. 59. People Dr. Roy Pool. Dr. Joanne Mansell. Dr. Jairo Nunes. Dawn Currin Shannon Davis.
  60. 60. Mission Service. Surgical pathology support for the VMTH small and large animal clinics Teaching. 6 anatomic pathology residents rotate with faculty. Research. Mostly collaborative with clinicians in small and large animal clinics.
  61. 61. Service Real time web site for surgical results http://vtpb-www.cvm.tamu.edu/surgpath/daily.lasso Approximately 800-900 cases/yr
  62. 62. We encourage clinician-pathologist interaction. Review slides with clinicians, clinical residents, and students Love to be invited to clinic to see clinical cases
  63. 63. Teaching There are 6 anatomic pathology residents who rotate on the service with faculty. Residents and students in the clinic are welcome to come and look at slides of their cases.
  64. 64. Research Collaborative publications with clinicians in the VMTH, and pathologists at other institutions. Presentations at national and international meetings.
  65. 65. Dermatopathology National and state specialty service Approx 2000 cases/yr One of 3 universities with dermpath services. Provides cases for teaching, publications, and presentations at national & international meetings. Joanne Mansell. Melanie Buote training on service. Previous faculty; Dunstan, Credille, Mecklenburg
  66. 66. Orthopedic pathology National and state specialty service Approx 260 cases/yr One of 2 universities with osteopath service Provides cases for teaching, publications, and presentations Dr. Pool

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