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VET 2300
Laboratory Procedures Review
Packed Cell Volume (PCV)
2
 Percentage of whole blood composed of RBCs
 Microhematocrit tubes
 Red ring – heparinized
 Blue ring – not treated
Packed Cell Volume
3
 RBC – high specific gravity
 Dark red layer
 Buffy coat
 Whitish-gray layer above the RBC layer
 Consists of WBCs and platelets
 Height – rough estimate of total WBC count
 Plasma
 Clear to pale yellow fluid
 Top layer
Packed Cell Volume
4
 Plasma layer
 Normal – clear to pale yellow
 Cloudy – lipemic
 Reddish tinge – hemolyzed
 Deep yellow – icteric
Packed Cell Volume
5
 Significance of results
 Pathologic condition
 Below normal
 Anemia
 Inadequate volume of blood to anticoagulant ratio
 Above normal
 Polycythemia
 Dehydrated
Packed Cell Volume
6
 Hematocrit card used for reading PCV %
Plasma Protein Concentration/Total Protein
 Lipemic plasma contains chylomicrons that cause
the light to diffract in many different directions and
usually results in a false increase in the total protein
reading.
 Most often, increased PCV is seen in patients who
are dehydrated, as a result of the lower volume of
fluid present in the vasculature.
 PCV will also be falsely decreased in an inadequate
volume of blood was collected into the anticoagulant.
 Physical properties
 Include those made without a microscope
or chemical reagents
 Volume
 Color
 Odor
 Transparency
 Specific gravity
8
Routine Analysis
 Owners may confuse:
 Pollakiuria – frequent urination
 Polyuria – increased production
 Many factors involved
 Fluid intake, external losses, temperature and humidity,
amount and type of food, activity level, size of animal
and species
 Cannot evaluate on one urination
 Need 24-hour urine volume collection
 Valuable but not practical
 May need to observe in cage or outdoors to get an estimate
9
Urine Volume
10
Daily Urine Production by Species
 Normal
 Light yellow to amber
 Pigments = urochromes
 Darker yellow = more concentrated urine
 Higher specific gravity
 Lighter color = less concentrated
 Lower specific gravity
 Yellow-brown or green
 Contain bile pigments
 Red or brownish
 Presence of RBCs (hematuria) or hemoglobin (hemoglobinuria)
 Due to muscle cell lysis
 Some drugs affect urine color
 Place against a white background for proper evaluation
11
Color
12
Urine Color
 In most species:
 Clear or transparent
 Equine normally cloudy and rabbits
normally milky
 High concentration of calcium
carbonate crystals and mucus
 Observe against a letter print background
 Noted as clear, slightly cloudy, cloudy, or
turbid (flocculent)
13
Clarity or Transparency
 Not a highly diagnostic evaluation but
helpful
 Species have distinctive odors
 An ammonia may occur with
 Cystitis
 Bacteria that produce urease metabolize urea to ammonia
 A sample left standing too long
 Sweet or fruity odor
 Ketones
 Diabetes mellitus
 Ketosis in cows
 Pregnancy in ewes
14
Odor
 Weight (density) of a quantity of liquid
compared with that of an equal amount of
distilled water
 The number and molecular weight of
dissolved solutes determine the SG of
urine
 Can be measured before or after
centrifuging
 Particles that settle have no effect on SG
15
Specific Gravity
16
Specific Gravity
 Processed by a variety of techniques
 Impression smears
 Compression or modified compression
preparations
 Line smears
 Starfish smears
 Wedge smears
 Type of preparation depends on characteristics
of the sample
17
Cytology Samples
 Compression preparation
 Squash prep
 Can yield excellent cytologic smears
 Expel contents of aspirate onto the middle of slide
 Gently place a second slide at right angles to the first
slide
 The spreader slide is quickly and smoothly slid across the
prep slide
 Downward pressure should not be placed on the spreader
slide
 Excessive cell rupturing
 Modification
 Rotate second slide 45 degrees and lift upward
18
Smear Preparation
19
Compression Smear
 Drags the aspirate peripherally in several directions
with the point of a needle
 Tends not to damage cells, but leaves a thick layer
 Ideal for viscous
samples
20
Starfish Smear
Dermatophytes
 More than 3 dozen different organisms in taxonomic
genera
 Microsporum and Trichophyton spp.
 Most commonly seen
 M. canis, M. gypseum, and T. mentagrophytes
 Also classified by habitat
 Anthropophilic – confined to humans
 Zoophilic – parasites of animals
 Geophilic – free-living saprophytes in soil
21
Dermatophyte Testing
 Most dermatophytes will grow on the hair shaft and
some can be visualized microscopically
 Pluck a few hairs – periphery lesion
 Place on a slide with 1 to 2 drops of 10% KOH
 After 2 to 10 minutes small globular arthrospores attached
to the shaft are visible
22
Dermatophyte Testing
 Wood lamp
 Ultraviolet light source
 Warm up for 5 minutes before use
 Results may be ambiguous
 Only about 50% of cases
 Must be at the right life stage
 Hairs infected with some species of Microsporum are a
clear apple-green in a darkened room using fluorescence
23
Dermatophyte Testing
24
Dermatophyte Testing
 Several products available for culturing
 Most common – dermatophyte test medium (DTM)
 Turns red in the presence of most dermatophytes
25
Sample Collection
 Clean the lesion to remove surface contamination
 Collect samples from lesion periphery
 Broken hair shafts and dry scale most likely to contain
viable organisms
 Push sample into and partially below the surface of the
media
 Incubate at room temperature with loose cap and
observe daily for growth
 At first sign of color change, perform a wet prep
using Fungi-Tape or cellophane tape and
lactophenol cotton blue stain
26
Test Results
 Red color in DTM
 Teal in ESM or other media
 Alone these are not diagnostic
 Must be supported by microscopic examination
27
28

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VET 2300 Lab Procedures Review: PCV, Urine Analysis, Dermatophyte Testing

  • 2. Packed Cell Volume (PCV) 2  Percentage of whole blood composed of RBCs  Microhematocrit tubes  Red ring – heparinized  Blue ring – not treated
  • 3. Packed Cell Volume 3  RBC – high specific gravity  Dark red layer  Buffy coat  Whitish-gray layer above the RBC layer  Consists of WBCs and platelets  Height – rough estimate of total WBC count  Plasma  Clear to pale yellow fluid  Top layer
  • 4. Packed Cell Volume 4  Plasma layer  Normal – clear to pale yellow  Cloudy – lipemic  Reddish tinge – hemolyzed  Deep yellow – icteric
  • 5. Packed Cell Volume 5  Significance of results  Pathologic condition  Below normal  Anemia  Inadequate volume of blood to anticoagulant ratio  Above normal  Polycythemia  Dehydrated
  • 6. Packed Cell Volume 6  Hematocrit card used for reading PCV %
  • 7. Plasma Protein Concentration/Total Protein  Lipemic plasma contains chylomicrons that cause the light to diffract in many different directions and usually results in a false increase in the total protein reading.  Most often, increased PCV is seen in patients who are dehydrated, as a result of the lower volume of fluid present in the vasculature.  PCV will also be falsely decreased in an inadequate volume of blood was collected into the anticoagulant.
  • 8.  Physical properties  Include those made without a microscope or chemical reagents  Volume  Color  Odor  Transparency  Specific gravity 8 Routine Analysis
  • 9.  Owners may confuse:  Pollakiuria – frequent urination  Polyuria – increased production  Many factors involved  Fluid intake, external losses, temperature and humidity, amount and type of food, activity level, size of animal and species  Cannot evaluate on one urination  Need 24-hour urine volume collection  Valuable but not practical  May need to observe in cage or outdoors to get an estimate 9 Urine Volume
  • 11.  Normal  Light yellow to amber  Pigments = urochromes  Darker yellow = more concentrated urine  Higher specific gravity  Lighter color = less concentrated  Lower specific gravity  Yellow-brown or green  Contain bile pigments  Red or brownish  Presence of RBCs (hematuria) or hemoglobin (hemoglobinuria)  Due to muscle cell lysis  Some drugs affect urine color  Place against a white background for proper evaluation 11 Color
  • 13.  In most species:  Clear or transparent  Equine normally cloudy and rabbits normally milky  High concentration of calcium carbonate crystals and mucus  Observe against a letter print background  Noted as clear, slightly cloudy, cloudy, or turbid (flocculent) 13 Clarity or Transparency
  • 14.  Not a highly diagnostic evaluation but helpful  Species have distinctive odors  An ammonia may occur with  Cystitis  Bacteria that produce urease metabolize urea to ammonia  A sample left standing too long  Sweet or fruity odor  Ketones  Diabetes mellitus  Ketosis in cows  Pregnancy in ewes 14 Odor
  • 15.  Weight (density) of a quantity of liquid compared with that of an equal amount of distilled water  The number and molecular weight of dissolved solutes determine the SG of urine  Can be measured before or after centrifuging  Particles that settle have no effect on SG 15 Specific Gravity
  • 17.  Processed by a variety of techniques  Impression smears  Compression or modified compression preparations  Line smears  Starfish smears  Wedge smears  Type of preparation depends on characteristics of the sample 17 Cytology Samples
  • 18.  Compression preparation  Squash prep  Can yield excellent cytologic smears  Expel contents of aspirate onto the middle of slide  Gently place a second slide at right angles to the first slide  The spreader slide is quickly and smoothly slid across the prep slide  Downward pressure should not be placed on the spreader slide  Excessive cell rupturing  Modification  Rotate second slide 45 degrees and lift upward 18 Smear Preparation
  • 20.  Drags the aspirate peripherally in several directions with the point of a needle  Tends not to damage cells, but leaves a thick layer  Ideal for viscous samples 20 Starfish Smear
  • 21. Dermatophytes  More than 3 dozen different organisms in taxonomic genera  Microsporum and Trichophyton spp.  Most commonly seen  M. canis, M. gypseum, and T. mentagrophytes  Also classified by habitat  Anthropophilic – confined to humans  Zoophilic – parasites of animals  Geophilic – free-living saprophytes in soil 21
  • 22. Dermatophyte Testing  Most dermatophytes will grow on the hair shaft and some can be visualized microscopically  Pluck a few hairs – periphery lesion  Place on a slide with 1 to 2 drops of 10% KOH  After 2 to 10 minutes small globular arthrospores attached to the shaft are visible 22
  • 23. Dermatophyte Testing  Wood lamp  Ultraviolet light source  Warm up for 5 minutes before use  Results may be ambiguous  Only about 50% of cases  Must be at the right life stage  Hairs infected with some species of Microsporum are a clear apple-green in a darkened room using fluorescence 23
  • 25. Dermatophyte Testing  Several products available for culturing  Most common – dermatophyte test medium (DTM)  Turns red in the presence of most dermatophytes 25
  • 26. Sample Collection  Clean the lesion to remove surface contamination  Collect samples from lesion periphery  Broken hair shafts and dry scale most likely to contain viable organisms  Push sample into and partially below the surface of the media  Incubate at room temperature with loose cap and observe daily for growth  At first sign of color change, perform a wet prep using Fungi-Tape or cellophane tape and lactophenol cotton blue stain 26
  • 27. Test Results  Red color in DTM  Teal in ESM or other media  Alone these are not diagnostic  Must be supported by microscopic examination 27
  • 28. 28

Editor's Notes

  1. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.
  2. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.
  3. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.
  4. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.
  5. Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.