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153 Cards in this Set
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H&E steps
|
1. hematoxylin staining step
2. differentiation 3. bluing step 4. washing 5. eosin counterstain |
|
H&E hematoxylin staining step
|
Aluminium hematoxylin
basic dye regressive stain mordant indirect |
|
H&E differentiation
|
0.5%-1.0% acid alcohol
red nuclei everything else colourless |
|
H&E bluing step
|
Ammonia H2O
nuclei become blue again |
|
H&E wash
|
H2O and then alcohol
|
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H&E counterstain step
|
Eosin
acidic dye direct quinoid |
|
H&E results
|
nuclei- blue
cytoplasm-pink Basic tissue- pink to red calcium, cartilage, RNA- blue |
|
H&E demonstrates and principle
|
routine stain general morphology
Ionic bonding -salt linkage |
|
alcian blue steps
|
1. pre-rinse step
2. alcian blue staing step 3. nuclear counterstaining step |
|
alcian blue pre- rinse step
|
acetic acid
changes the pH of the tissue to the same as the dye allowing it to pick up the dye |
|
Alcian blue demonstrates and principle
|
acid mucins
ionic bonding and salt linkage |
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alcian blue staining step
|
alcian blue
basic dye member of the copper phthalocyanine dyes H2O soluble electrostatic bonds occur between the pos charged basic dyes and negative tissue group |
|
alcian blue counterstain
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Neutral red
|
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alcian blue results
|
pH 2.5 -sulphated&carboxylated mucin- blue turquoise
pH1.0- only sulphated mucin Nuclei- Blue- hematoxylin Red- neutral red |
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Luxol fast blue steps
|
1. myelin staining step
2. differentiation 3. counterstain |
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Luxol fast blue myelin staining step
|
luxol fast blue
basic dye copper phthalocyanine chromogen soluble in alcohol slow reaction use heat (37*-60*) forms a myelin-LFB complex |
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Luxol fast blue differentiation
|
0.05% lithium carbonate and 70% ethanol
lithium carbonate is weak base ethanol slows down or stops process check micro |
|
LFB counterstain
|
1% eosin
acid dye |
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LFB results
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myelin (white matter)- blue
background (grey matter)- pink |
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LFB demo and principle
|
myelin
base replacement with salt formation |
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Cresyl echt violet steps
|
1. nervous tissue staining
2. differentiation |
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cresyl echt violet demo and principle
|
nissl substance
RNA is basophillic and stains with basic aniline dyes by ionic bonding |
|
cresyl echt violet nervous tissue staining
|
0.5%-1.0% cresyl echt violet
basic pH 2.5 will only dye DNA&RNA containing structures |
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cresyl echt violet differentiation
|
100% alcohol
check micro |
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cresyl echt violet results
|
nissl substance- dark purple
neurons/nuclei- purple background-lilac/clear |
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Gordon and sweets steps
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1. oxidation
2. sensitization 3. silver impregnation 4. reduction 5. toning (optional) 6. silver fixing 7. counterstain |
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Gordon and sweets demo and principle
|
reticulin
argyrophilic silver impregnation |
|
gordon and sweets oxidation
|
potassium permanganate (KMnO4)
leaves brown pigment bleach with oxalic acid oxidation exposes aldehyde groups |
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gordon and sweets sensitization
|
iron alum
acts like a mordant aldehydes are coated with ferric ions wash well with dH2O |
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gordon and sweets silver impregnation
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ammoniacal silver
sensitive and reactive AgNO3+NH4OH+NaOH |
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gordon and sweets reduction
|
unbuffered formaldehyde
extraneous reducer changes silver to blacken metallic state stop reaction with H2O |
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gordon and sweets toning
|
0.2% gold cholride
improves the quality of the technique gold replaces the silver giving a finer precipitate producing a permanent, neutral black colour of high density in the reticulin |
|
gordon and sweets silver (fixing)
|
5% sodium thiosulfate
stops all chemical activity removes all excess silver and gold ions |
|
gordon and sweets counterstain
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1% neutral red
|
|
gordon and sweets results
|
reticulin - black
nuclei - red cytoplasm - pink |
|
periodic acid methenamine silver method (PAMS) steps
|
1. oxidation
2. impregnation 3. toning 4. fixing step 5. counterstain |
|
pams demo and principle
|
basement membrane
argentaffin silver reaction |
|
pams oxidation
|
periodic acid
oxidizes basement membrane carbohydrate to aldehyde groups |
|
pams impregnation
|
methenamine silver
silver ions are bound to aldehydes and reduced to visible metallic silver by aldehyde groups used to speed up the reaction |
|
pams toning
|
gold chloride
replace silver with a finer denser, more permanent black coating |
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pams fixing step
|
sodium thiosulfate
stops all reaction cleans away excess silver and gold |
|
pams counterstain
|
light green
|
|
pams results
|
basement membrane- black
background- green |
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pams thickness
|
2um
|
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Fontanna masson steps
|
1. silver impregnation step
2. toning step 3. fixing 4. counterstain |
|
fontanna masson demo and principle
|
melanin and argentaffin granules
argentaffin silver method |
|
fontanna masson silver impregnation step
|
ammoniacal or methenamine silver
no oxidization needed because melanin and argentaffin granules are strong reducing agents heat to 60* to increase speed of reaction check microscopically |
|
fontanna masson toning step
|
gold chloride
replaces silver with a finer denser precipitate causing black coating |
|
fontanna masson fixing step
|
sodium thiosulfate
stops all reactions cleans excess silver and gold |
|
fontanna masson counterstain
|
nuclear fast red
basic |
|
fontana masson results
|
melanin and argentaffin granules - brown/black
nuclei and cytoplasm- pink |
|
Von Kossa steps
|
1. silver impregnation
2. fixing 3. counterstain |
|
von kossa demo and principle
|
calcium
metal substitution and argyrophilic reduction |
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von kossa silver impregnation
|
5% silver nitrate and light
after slides are put in a solution of silver nitrate then exposed to bright light stop reaction when calcium salts are brown to black |
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von kossa fixing
|
sodium thiosulfate
stops reaction |
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von kossa counterstain
|
nuclear fast red
basic dye |
|
von kossa results
|
calcium- brown/black
background- pink nuclei/cytoplasm- pink |
|
Gomori's Methenamine silver steps
|
1. oxidization
2. bleaching 3. silver impregnation 4. toning 5. silver 'fixing' 6. counterstain |
|
Gomori's methenamine silver demonstrates and principle
|
fungi
argentaffin silver reaction |
|
Gomori's Methenamine Silver oxidization
|
5% chromic acid
very strong overoxidizes all other carbs and non reactive acids makes more specific for fungal cell walls |
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Gomori's Methenamine Silver bleaching
|
1% sodium bisulfite
removes chromic acid |
|
Gomori's Methenamine Silver- silver impregnation
|
methenamine silver nitrate
methenamine-provides an alkaline condition and chelates silver ions to produce silver amine groups silver nitrate- source of silver ions borax- buffer maintains an alkaline pH done at 60* |
|
Gomori's Methenamine Silver toning
|
0.1% gold chloride
improves contrast stabilizes |
|
GMS removal of unreduced silver fixing
|
2% sodium thiosulfate
stops the chemical reaction |
|
Gomori's Methenamine Silver counterstain
|
light green
acid dye bound by electrostatic attraction |
|
Gomori's Methenamine Silver results
|
fungal cell walls- black
inner parts of mycelia- grey mucin- grey other tissue components- green |
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Gomori's aldehyde fuchsin method steps
|
1. elastic staining
2. washing 3. counterstain |
|
Gomori's Aldehyde Fuchsin demo and principle
|
elastic fibers
hydrogen bonding and van der waals forces progressive |
|
Gomori's Aldehyde Fuchsin elastic staining
|
aldehyde fuchsin
basic fuchsin, 70% alcohol, HCl, paraldehyde not specific for elastic stains progressively no differentiation necessary |
|
Gomori's Aldehyde Fuchsin washing
|
70% alcohol
removes excess colour from the background |
|
Gomori's Aldehyde Fuchsin counterstain
|
light green
|
|
Gomori's Aldehyde Fuchsin results
|
elastic fibers- purple
mast cell granules, beta-cell granules, beta-cell islets of langerhans, cheif cells & mucins- purple collagen and other tissue components- green |
|
Verhoeffs steps
|
1. elastic staining
2. differentiation 3. background clearing step 4. counterstain |
|
verhoeffs demo and principle
|
elastic fibers
hydrogen bonding and van der waals forces regressive |
|
verhoeffs elastic staining
|
verhoeffs hematoxylin
hematoxylin/ferric chloride/iodine lake iodine increases affinity of elastic fibers for iron hematoxylin and acts as a trapping agent no stabilizer present |
|
verhoeffs differentiation
|
2% ferric chloride
mordant differentiation breaks tissue- mordant dye complex check micro reaction stopped by wash step |
|
verhoeffs background clearing step
|
2.5% sodium thiosulfate
removes excess iodine (colour) wash well in H2O to remove alkaline pH which would otherwise inhibit the counterstain acid dyes |
|
verhoeffs counterstain
|
eosin
|
|
verhoeffs results
|
elastic fibers- black
nuclei- grey to black collagen- pink RBC- red other tissue - pink |
|
Congo red steps
|
1. nuclear staining
2. suppression of ionizing step 3. amyloid staining step |
|
congo red demo and principle
|
amyloid
hydrogen bonding |
|
congo red thickness
|
8-10um
polarizing microscope shows a apple green birefringence |
|
congo red nuclear staining
|
harris' hematoxylin
ionic bonding aluminium mordant |
|
congo red suppression of ionizing step
|
alkaline salt solution
depresses the ionization of amyloid releases hydrogen bonds |
|
congo red amyloid staining step
|
congo red
acid dye binds to amyloid through hydrogen bonds |
|
congo red results
|
amyloid- deep pink to red
elastic- pale pink nuceli -blue |
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Toluidine blue steps
|
1. metachromatic staining
2. counterstaining |
|
toluidine blue demo and principle
|
mast cells
metachromatic |
|
toluidine blue metachromatic staining
|
toludine blue
pH 5.0 |
|
toluidine blue counterstain
|
light green
|
|
toluidine blue results
|
mast cells- deep violet
acid mucins- purple/ pink nuclei- blue cytoplasm- light green RBC- light green to pale yellow |
|
periodic acid schiffs steps
|
1. oxidizing
2. schiffs reagent 3.washing step 4. nuclear counterstain |
|
PAS demo and principle
|
basement membrane
histochemical |
|
PAS oxidation
|
periodic acid
mild/slow will not overoxidize the aldehyde groups |
|
PAS schiffs reagent
|
basic fuchsin (red)
sulfurous acid (to destroy the chromophore) demonstrates aldehydes cannot be reversed |
|
PAS washing
|
tap H2O
causes further oxidation develops colour and removes excess schiffs |
|
PAS nuclear counterstain
|
aluminium hematoxylin
(richard allen regressive) |
|
PAS results
|
PAS Pos- magenta
basement membrane- magenta nuclei- blue |
|
perls prussian blue steps
|
1. hemosiderin demonstration
2. counterstain |
|
PPB demo and principle
|
iron
histochemical |
|
PPB hemosiderin demo
|
potassium ferrocyanide and HCl
HCl breaks down hemosiderin into ferric iron and protien Ferric reacts with K ferrocyanide to form an insoluble blue pigment(prussian blue or ferric ferocyanide) |
|
PPB counterstain
|
nuclear fast red or eosin
|
|
PPB results
|
hemosiderin- blue
background - pink |
|
Giemsa solution steps
|
1. bacterial staining
2. differentiation |
|
Giemsa demo and principle
|
helicobacter pylori
polychromasia |
|
giemsa bacterial staining
|
giemsa solution
(eosin links with basic methylene blue to break down azure A, azure B & methyl violet) acid tissue stains metachromatic and background stains orthochromatically |
|
giemsa differentiation
|
dilute acetic acid (vinegar)
|
|
giemsa results
|
microorganisms- blue
nuclei- blue mast cells- purple background- pink to pale blue |
|
Massons trichrome steps
|
1. post fixation
2. nuclear stain 3. cytoplasm stain 4. differentiation 5. collagen stain 6. remove excess collagen stain |
|
massons trichrome demo and principle
|
collagen
porosity of tissues and molecular weight of dye |
|
massons trichrome post fixation
|
bouins solution
enhances stain |
|
massons trichrome nuclear stain
|
weigerts hematoxylin
must be an iron hematoxylin ferric chloride acts as an oxidizer and mordant black dye lake progressive |
|
massons trichrome cytoplasm stain
|
biebrich scarlet and acid fuchsion
acid or anionic dyes create competition for binding sites fuchsin (acid dye) stains collagen biebrichs (acid dye) stains muscle and cytoplasm |
|
masson trichrome differentiation
|
PMA/PTA
strong acid large molecular weight remove acid fuchsin from collagen only penetrate collagen |
|
masson trichrome collagen stain
|
light green or aniline blue
selectively stains collagen |
|
masson trichrome removal of excess collagen stain
|
1%acetic acid
sharpens cytoplasmic stain |
|
masson trichrome results
|
nuclei- dark grey
cytoplasm- shades of red muscle- bright red RBC- bright red collagen- green or blue |
|
Van gieson steps
|
1. nuclear stain
2. cytoplasmic stain |
|
van gieson demo and principle
|
collagen
porosity of tissue and molecular weight of the dye |
|
van giesons nuclear stain
|
weigerts iron hematoxylin
progressive |
|
van gieson cytoplasmic stain
|
van giesons solution
(picric acid and acid fuchsin) picric acid- small molecular weight- muscle acid fuchsin-large molecular weight-collagen |
|
van gieson results
|
nuclei- grey black
cytoplasm, muscle, RBC- yellow collagen- red |
|
Gram stain steps
|
1. primary stain
2. production of high molecular weight complex 3. decolourizing step 4. secondary stain 5. counterstain/dehydration 6. dehydration and clearing |
|
Gram demonstration and principle
|
gram pos/neg
nature of cell wall |
|
gram primary stain
|
crystal violet
basic dye reacts with RNA of positive organisms |
|
gram production of HMW complex
|
iodine
all purple trapping agent crystal violet/RNA is precipitated to form a HMWC in bacteria |
|
gram decolourizing step
|
acetone/alcohol
+ stay purple, -washes out= clear background |
|
gram secondary stain
|
basic fuchsin
- turns red background=red |
|
gram counterstain/dehydration
|
picric acid/acetone
picric acid binds to cytoplasm by electrostatic attraction acetone-differentiator/dehydrator |
|
gram dehydration and clearing
|
acetone/xylene
completes dehydration and begin clearing |
|
gram results
|
gram pos- deep blue/purple
gram neg- red nuclei-red cytoplasm, muscle, collagen, RBC-yellow fibrin, keratin, calcium, some fungi- deep blue |
|
Ziel Neelsen steps
|
1. bacteria staining
2. decolourizing step 3. counterstain |
|
Ziel neelsen demo and principle
|
acid fast bacilli
nature of cell wall |
|
ZN bacterial staining
|
carbol fuchsin
(carbolic acid, basic fuchsin, alcohol) carbolic acid- accentuator-increases selectivity, and rate of reaction carbolic fuchsin is done at 60* |
|
ZN decolourizing
|
1% acid alcohol
breaks the bond btw basic dye and tissue cant break the basic fuchsin-mycolic acid complex |
|
ZN counterstain
|
methylene blue
basic dye |
|
ZN results
|
acid fast bacilli- red/hot pink
nuclei-dark blue background-pale blue |
|
Oil red O steps
|
1. neutral lipid staining
2. differentiation 3. counterstain 4. counterstain enhancement |
|
Oil red O demo and principle
|
lipids
selective solubility |
|
oil red O thickness, control and special requirement
|
10-18 um frozen
control not required aqueous media needed dont press out bubbles |
|
oil red O neutral lipid stain
|
oil red O
weak red, acid dye dye solvent= propylene gylcol or isopropanol dye attracted by adsorption dye dissolves in the lipid (lysochrome-azodye) |
|
oil red O differentiation
|
60% isopropanol
|
|
oil red O counterstain
|
harris' hematoxylin (aluminium)
nuclei stained blue by electrostatic attraction cytoplasm=pale blue by physical attraction |
|
oil red O counterstain enhancement
|
ammoinia water
blueing agent increases contrast between lipid and nuclei |
|
oil red O results
|
neutral lipids- orange/red
phospholipid- pink background- blue nuclei- blue |
|
Rapid H&E
|
done in under 10 min
progressive stain fresh frozen tissue alcoholic eosin used to start dehydrating while counterstaining |
|
affinity for silver
|
reticulin, nerve fibers, melanin, fungi, calcium
|
|
potassium permanganate (KMnO4)
|
very strong oxidizing agent
often used in demonstration of reticulin |
|
argentaffin
|
can reduce silvers by itself
|
|
argyrophilic
|
needs an extranuous reducer
|
|
silver substitution
|
silver ions replace calcium ions which are linked with phospate or carbonate in the bone
|
|
silver source in ammoniacal silver solution
|
silver nitrate
|
|
advantages/disadvantages to Gomori's Aldehyde Fuchsin
|
ad- no differentiation step
solution can be stored identifies btw young and old elastic- young-delicate old-thick dis- not specific for elastic |