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125 Cards in this Set

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Kinyoun Acid fast purpose

Detects Acid fast mycrobacteria

Kinyoun Acid fast principle

Resistant to decolorization


Will take in carbon fuchsin stain

Kinyoun Acid fast reagents

95% alcohol - hydrate


Carbol fuchsin solution -Stains lipoid capsule


Acid (HCl) alcohol - differentiation


Methylene blue - counterstain

Kinyoun Acid fast results

Acid - fast organisms : Red


Background : light blue

Front (Term)

Kinyoun Acid fast stain

Kinyoun Acid fast fixative

10% NBF


(NO CARNOY - false negative)

Kinyoun Acid fast fixative

10% NBF


(NO CARNOY - false negative)

Kinyoun Acid fast cut

4-5 microns

Kinyoun Acid fast troubleshooting

NO TAP WATER


Easy to over counterstain


Wash acid prior to counterstain


NOT satisfactory for m. Leprae

Kinyoun Acid fast fixative

10% NBF


(NO CARNOY - false negative)

Kinyoun Acid fast cut

4-5 microns

Kinyoun Acid fast troubleshooting

NO TAP WATER


Easy to over counterstain


Wash acid prior to counterstain


NOT satisfactory for m. Leprae

Ziehl-Neelsen is a similar modification of what stain?

Kinyoun

Kinyoun Acid fast fixative

10% NBF


(NO CARNOY - false negative)

Kinyoun Acid fast cut

4-5 microns

Kinyoun Acid fast troubleshooting

NO TAP WATER


Easy to over counterstain


Wash acid prior to counterstain


NOT satisfactory for m. Leprae

Ziehl-Neelsen is a similar modification of what stain?

Kinyoun

Ziehl-Neelsen reagents

0.5 g basic fuchsin


2.5 ml phenol


5 ml alcohol


700 ml water

Ziehl-Neelsen microwave modification solution

0.8 g basic fuchsin


7.5 ml phenol


14 ml isopropyl


140 ml water

Kinyoun Acid fast fixative

10% NBF


(NO CARNOY - false negative)

Kinyoun Acid fast cut

4-5 microns

Kinyoun Acid fast troubleshooting

NO TAP WATER


Easy to over counterstain


Wash acid prior to counterstain


NOT satisfactory for m. Leprae

Ziehl-Neelsen is a similar modification of what stain?

Kinyoun

Ziehl-Neelsen reagents

0.5 g basic fuchsin


2.5 ml phenol


5 ml alcohol


700 ml water

Ziehl-Neelsen microwave modification carbol fuchsin solution

0.8 g basic fuchsin


7.5 ml phenol


14 ml isopropyl


140 ml water

Ziehl-Neelsen microwave modification reagents

Carbol fuchsin solution


0.5% acid alcohol solution


Methelyene blue counterstain

Fite method purpose

Detect mycobacterium leprae

Fite method reagents

Xylene peanut oil - depar


Carbol fuchsin - lipoid stain


Acid alcohol - differentiation


Methylene blue - counterstain

Why should you use xylene peanut oil when using fite method?

Prevents shrinkage and injury


Protects waxy capsule of M. Leprae

Fite method results

M. Leprae and other AF orgs - Red


Background - light blue

Front (Term)

Fite method - m. Leprae

Fite method results

M. Leprae and other AF orgs - Red


Background - light blue

Front (Term)

Fite method - m. Leprae

Fite method control

Leprosy organism

Fite method cut

4-5 microns

Fite method fixative

10% NBF (NO CARNOY)

Auramine-Rhodamine purpose

Detects Acid fast organisms (m. Tuberculosis)

Auramine-Rhodamine principle

Unknown

Auramine-Rhodamine reagents

Auramine O-Rhodamine B solution


Acid alcohol - differentiation


Eriochrome black T - counterstain

Auramine-Rhodamine results

Acid fast - reddish yellow fluorescent


Background - Black

Auramine-Rhodamine control

Positive & negative control

Auramine-Rhodamine fixative

10% NBF

Auramine-Rhodamine cut

4-5 microns

Brown-hopps modification purpose

Gram stain

Brown-hopps modification reagent

Crystal violet


Grams iodine


Acetone - decolorizer


Basic fuchsin - counterstain


Gallegos solution - differentiation


Picnic acid aceton - background stain / diff

Brown-hopps modification results

Gram positive - blue black


Gram negative - Red


Background - yellow


Nuclei - light red

Front (Term)

Brown-hopps modification

Brown-hopps modification control

Gram (+ and -)

Brown-hopps modification fixative

10% NBF

Brown-hopps modification cut

4-5 microns

Brown-hopps modification common problems

(-)gram orgs stain purple = not enough time in acetone


(-) gram not appearing = more time in gallego, too much time in acetone


(+) gram not staining correct=excessive time in acetone, dead bacteria

May-Grunwald Giemsa stain purpose

Demonstrate microorganisms


Differentiate hematopoietic tissue cells

May-Grunwald Giemsa stain principle

Romanowsky stain Polychromatic

May-Grunwald Giemsa stain reagents

Lugol iodine/sodium thiosulfate- remove mercury pigment


Methanol - fixative


Jenner sol - eosin/methylene blue


Giemsa sol - Azure B/Eosin Y


Acetic acid - differentiation

May-Grunwald Giemsa stain reuslts

Nuclei - blue


WBC cytoplasm - shades of pink, gray or blue


Bacteria - blue

May-Grunwald Giemsa stain control

Spleen

May-Grunwald Giemsa stain fixative

Zenker or B-5


10% NBF okay

May-Grunwald Giemsa stain reuslts

Nuclei - blue


WBC cytoplasm - shades of pink, gray or blue


Bacteria - blue

May-Grunwald Giemsa stain control

Spleen

May-Grunwald Giemsa stain fixative

Zenker or B-5


10% NBF okay

May-Grunwald Giemsa stain cut

3-4 microns

Modified Diff-Quik Giemsa purpose

Demonstrate H. Pylori


(Gastritis, peptic ulcers, gastric carcinoma and lymphoma)

Modified Diff-Quik Giemsa reagents

Solution I - Eosin Y buffered


Solution II - mixture of Azure A & methylene blue


Acetic acid water - differentiation

Modified Diff-Quik Giemsa reagents

Solution I - Eosin Y buffered


Solution II - mixture of Azure A & methylene blue


Acetic acid water - differentiation

Modified Diff-Quik Giemsa results

H. Pylori - dark blue


Other bacteria - blue


Nuclei- dark blue


Cytoplasm - pink

Modified Diff-Quik Giemsa control

H. Pylori section

Modified Diff-Quik Giemsa fixative

10% NBF

Modified Diff-Quik Giemsa cut

4-5 microns

Modified Diff-Quik Giemsa troubleshooting

Dehydrate slides quickly to reduce excess decolonization

Alcian Yellow-Toluidine blue purpose

H. Pylori detection

Alcian Yellow-Toluidine blue results

Mucin - yellow


H. Pylori- blue

PAS - Fungal purpose

Demonstrate fungi

PAS - Fungal reagents

Periodic Acid - oxidizer


Schiff reagent - aldehyde reactor


Sulfurous acid solution - wash


Tap water - developer


Fast green- counterstain

PAS - Fungal results

Fungi- rose


Background - Green

PAS - Fungal control

Fungi tissue

PAS - Fungal results

Fungi- rose


Background - Green

PAS - Fungal control

Fungi tissue

PAS - Fungal fixative

10% NBF, bouins, Zenkers

PAS - Fungal cut

4-5 microns

PAS - Fungal technical notes

Use fats green as counterstain


Use fresh reagents for proper staining

(CAS) Chromic Acid Schiff is the same technique as

PAS

CAS) Chromic Acid Schiff uses what oxidizer instead of periodic acid?

Chromic Acid

Front (Term)

CAS) Chromic Acid Schiff

Gridley stain purpose

Fungi demonstration

Gridley stain reagent

Chromic Acid - oxidizer


Schiff reagent - aldehyde reaction


Aldehyde fuchsin - occupies uninvolved schiff linkage


Metanil yellow

Gridley stain results

Fungi - deep rose to deep purple


Background - yellow


Elastic fibers and mucin - deep purple

Gridley stain control

Fungi

Gridley stain fixative

10% NBF

Gridley stain cut

4-5 microns

Grocott/Gomori Methenamine silver (GMS) purpose

Demonstrate fungi

Grocott/Gomori Methenamine silver (GMS) reagents

Chromic Acid - oxidizer fungal cell wall


Sodium bisulfate - removes chromic Acid


Warm Methenamine silver sol - impregnate


Gold chloride- toning


Sodium thiosulfate- remove unbound silver


Light green - counterstain

Grocott/Gomori Methenamine silver (GMS) results

Fungi - Black


Mucin - taupe / dark gray


Background - green

Grocott/Gomori Methenamine silver (GMS) control

Fungi

Grocott/Gomori Methenamine silver (GMS) fixative

10% NBF (avoid gluteraldehyde)

Grocott/Gomori Methenamine silver (GMS) cut

4-5 microns

Front (Term)

Grocott/Gomori Methenamine silver (GMS)

Front (Term)

Overstained Grocott/Gomori Methenamine silver (GMS)

Grocott/Gomori Methenamine silver (GMS) special technique

Silver technique- non mentallic forceps and clean glass wear

What other stains can stain cryptococcus neoformans

Alcian blue pH 2.5


Mayer mucicarmine

Warthin-Starry purpose

Demonstrate spirochetes

Warthin-Starry principle

Argyrophilic

Warthin-Starry principle

Argyrophilic

Dieterle stain results

Bacteria - brown to black


Background - pale yellow/tan

Dieterle stain control

Spirochetes or legionella tissue

Dieterle stain fixative

10% NBF

Dieterle stain cut

4-5 microns

Dieterle stain cautions:

Beware of toxic chemical: uranyl nitrate & pyridine

Front (Term)

Warthin-Starry

Warthin-Starry reagents

Hydrate tissue to acid water


Silver nitrate - impregnate


Developer sol - silver nitrate & hydroquinone & gelatin

Warthin-Starry results

Spirochetes - Black


Other bacteria - Black


Background - yellow

Warthin-Starry control

Tissue containing spirochetes

Warthin-Starry fixative

10% NBF

Warthin-Starry cut

4-5 microns

Front (Term)

Warthin-Starry

Dieterle stain purpose

Demonstrate spirochetes and legionella organisms

Dieterle stain principle

Argyrophilic

Front (Term)

Dieterle stain

Steiner & Steiner purpose

Demonstrate Spirochetes, h. Pylori, and legionella

Steiner & Steiner principle

Argyrophilic

Steiner & Steiner reagents

Uranyl nitrate - sensitizer


Silver nitrate - impregnation


Gum mastic - unknown


Reducing sol - hydroquinone, gum mastic, alcohol

Steiner & Steiner results

Bacteria - dark brown to black


Background - light yellow

Steiner & Steiner control

Tissue containing spirochetes, h. pylori, or L. Pneumophila

Steiner & Steiner fixative

10% NBF

Steiner & Steiner cut

4-5 microns

Front (Term)

Steiner & Steiner