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:
    1. Variation in cell size.
    2. Variation in cell shape.
    3. Increase in nuclear to cytoplasmic ratio.
    4. Increase in mitotic figures.
    5. 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.