Clin tech final
Group Discussions and Collaboration
- Students are encouraged to engage in group discussions.
- Whiteboards are available for writing out answers.
- Interactive classroom environment, where students can vocalize their thoughts.
Diagnosis of Heartworm
- Discussion initiated regarding the diagnosis of heartworm.
- Options for diagnosing heartworm should be listed by the students.
- Suggestions for collaborative documentation (Google Document or whiteboard).
Diagnostic Tests for Heartworm
- Knott’s Test
- Purpose: To identify Microfilaria in peripheral blood.
- Technique involves drying the sample, which makes it less preferred due to time consumption.
- Modified Knott’s Test
- More efficient than Knott's Test as it does not require the sample to dry.
- It is increasingly preferred despite both tests being equally sensitive.
- Antigen Test (4DX)
- Most sensitive test for adult heartworms.
- Can detect antigens released by mature female heartworms older than six months, which is essential for the test's effectiveness.
- Microfilaria Tests
- The modified Knott’s, Knott’s, and DiFil tests are more sensitive compared to direct smear tests.
- Least Sensitive: Direct smear.
- Buffy Coat Analysis: Involves centrifuging blood samples to concentrate the microfilaria for examination under a microscope.
- Direct Smear and Direct Drop: Less sensitive than the previously mentioned tests.
Additional Tests
- ELISA Test: Used for detecting heartworm antigen; often in the context of adult heartworms.
- Mention that the DiFil test is technically more sensitive for microfilaria but is less commonly used.
Blood Typing and Cross-Matching
- Discussion on blood types, particularly in dogs.
- Universal Dog Donor: DEA negative.
- Universal Recipient: DEA positive.
- Clarification on major vs. minor cross-matching:
- Major Cross-Match: Involves donor red blood cells with recipient plasma.
- Minor Cross-Match: Involves recipient red blood cells with donor plasma.
- Major cross-matching is prioritized to prevent transfusion reactions greater than minor cross-matching.
Exploring Blood Typing Resources
- Reminders to utilize provided resources for learning, such as websites for renal studies, CBC, and chemistry tests.
Diagnostic Techniques and Treatment Options
- Overview of serology testing including ELISA versus competitive ELISA (c ELISA).
- ELISA: Basic antigen test for various conditions (e.g., 4DX).
- Competitive ELISA: Can indicate severity of conditions (e.g., pancreatitis).
Coombs Test
- Purpose: To detect autoantibodies indicating autoimmune conditions.
- Important for distinguishing between self-generated antibodies versus other types of antibodies.
Fluid Diagnostics in FIP
- Discussion surrounding FIP (Feline Infectious Peritonitis) diagnosis and different fluid colors observed in effusion.
- Fluid Color: No distinct color—factors such as cell count and cell types are more crucial for diagnosis rather than just color.
Rabies Titer Testing
- Two labs in the U.S. approved for rabies titer testing (e.g., Kansas and Iowa).
- Importance of titers for medical exemptions and international travel regarding rabies vaccination.
Cytological Techniques
- Ear Cytology: Included swabbing technique for dogs with ear issues.
- Knowledge of swab, scrape, squash technique discussed with emphasis on identifying different skin conditions.
Reproductive Cytology and Sperm Analysis
- Different sperm fractions discussed (e.g., sperm-rich fraction).
- Importance of identifying progressive motility versus non-progressive motility in sperm samples.
Blood Chemistry Terminology
- Definitions of terms related to blood cells and conditions:
- Neutrophilia: Increase in neutrophils.
- Neutropenia: Decrease in neutrophils.
- Lymphocytosis: Increase in lymphocytes.
- Lymphocytopenia: Decrease in lymphocytes.
Hematology Terminology and Indices
- Difference between hematocrit and packed cell volume (PCV):
- Hematocrit: Machine value.
- PCV: Manually determined value.
- Conditions affecting hematocrit values, notably dehydration and anemia discussed.
Kidney Function Testing
- SDMA (Symmetric Dimethylarginine) levels indicate kidney function, with thresholds for action at various levels (e.g., 25% vs. 75% functional loss).
- Azotemia: Increase in urea nitrogen (BUN) and creatinine signaling kidney dysfunction.
Diagnosing Hematuria vs. Hemoglobinuria
- Techniques for differentiation primarily focus on centrifugation supernatant analysis.
- Clear supernatant (hematuria) vs. cloudy supernatant (hemoglobinuria) discussed.
Malignancy Criteria in Cytology
- Five criteria of malignancy outlined:
- Variation in cell size.
- Variation in cell shape.
- Increase in nuclear to cytoplasmic ratio.
- Increase in mitotic figures.
- Coarser, darker chromatin structure observed in malignant cells.
Final Remarks on Testing and Calculations
- Emphasis on practice for absolute values, differential calculations in diagnostics.
- Encouragement to seek help if mastering these calculations and interpretations proved difficult.