Additional Information
Book Details
Abstract
Now in full color with hundreds of new images, Laboratory Procedures for Veterinary Technicians, 6th Edition covers the broad spectrum of laboratory procedures that veterinary technicians need to perform effectively in the practice setting. Comprehensive content presents the fundamentals of microbiology, hematology, urinalysis, immunology, and cytology, along with the laboratory procedures used to perform the most widely used tests such as complete blood count, urinalysis, and immunologic assays. This edition includes newly organized chapters with expanded coverage of essential material to prepare you for real-life laboratory work.
"Everything you would expect from an in- house lab is listed here." Reviewed by Fabienne Dethioux on behalf of Vet Nurses Today, March 2015
- Comprehensive coverage gives you a solid foundation in the fundamentals of microbiology, hematology, urinalysis, immunology, and cytology, along with the laboratory procedures used to perform related tests.
- Step-by-step procedure boxes offer quick access to the skills you must perform during your educational program, as well as procedures that are commonly performed by vet techs in private practice.
- Provides the latest information needed to successfully perform a broad spectrum of laboratory tests, including complete blood count, urinalysis, and immunologic assays.
- Completely updated content throughout reflects the latest advances in veterinary clinical laboratory procedures for improved patient service and higher practice revenue.
- A comprehensive glossary of terms at the end of the text offers accurate, concise definitions and phonetic pronunciation guides.
- NEW! Streamlined chapters are shorter and easier to digest with expanded coverage of essential material to prepare you for real-life laboratory work.
- NEW! Full-color photos bring concepts to life, sequentially arranged to illustrate step-by-step procedures for all commonly performed diagnostic tests in the clinical laboratory.
- NEW! Companion Lab Manual (sold separately) includes multiple-choice questions, fill-in-the-blank exercises, photo quizzes, labeling exercises, crossword puzzles, and other activities to help you master and apply key concepts and procedures in clinical situations.
- NEW! Special emphasis on the significance of abnormal results of key lab tests, zoonoses, and hematology.
- NEW! Vet Tech Threads provide you with introductions, suggested readings, boxed technician notes, learning objectives, chapter outlines, key terms, and a glossary for easy navigation through chapters and more focused learning.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | cover | ||
Inside Front Cover | ifc1 | ||
Laboratory Procedures for Veterinary Technicians 6E | i | ||
Copyright Page | ii | ||
Dedication | iii | ||
Preface | iv | ||
New to this Edition | iv | ||
Procedures | iv | ||
Clinical Chemistry | iv | ||
Cytology | iv | ||
General Laboratory | iv | ||
Hematology | iv | ||
Microbiology | v | ||
Parasitology | v | ||
Urinalysis | v | ||
Acknowledgments | vi | ||
Table Of Contents | vii | ||
Unit One The Veterinary Practice Laboratory | 1 | ||
Unit Objectives | 1 | ||
Unit Overview | 1 | ||
Role of the Veterinary Technician | 1 | ||
Unit Outline | 1 | ||
Recommended Reading | 1 | ||
Internet Resources | 1 | ||
1 Safety Concerns and OSHA Standards | 2 | ||
Outline | 2 | ||
Learning Objectives | 2 | ||
Key Terms | 2 | ||
Hazard Control | 3 | ||
OSHA Standards | 4 | ||
Occupational Exposure to Hazardous Chemicals in Laboratories Standard | 4 | ||
The Hazard Communication Standard | 4 | ||
Container Labeling | 4 | ||
The Bloodborne Pathogens Standard | 5 | ||
Other Potentially Infectious Materials | 5 | ||
The Personal Protective Equipment Standard | 5 | ||
Biosafety Hazard Considerations | 6 | ||
Biosafety Level I | 6 | ||
Biosafety Level II | 7 | ||
Biosafety Level III | 7 | ||
Biosafety Level IV | 7 | ||
Shipping Hazardous Materials | 7 | ||
Laboratory Design | 8 | ||
General Considerations | 8 | ||
Sink | 8 | ||
Storage Space | 8 | ||
Electrical Supply | 9 | ||
Internet Access | 9 | ||
Key Points | 9 | ||
2 General Laboratory Equipment | 10 | ||
Outline | 10 | ||
Learning Objectives | 10 | ||
Key Terms | 10 | ||
Test Tubes | 10 | ||
Centrifuge | 10 | ||
Refractometer | 13 | ||
Care and Maintenance | 13 | ||
Pipettes | 14 | ||
Temperature-Controlling Equipment | 14 | ||
Incubators | 14 | ||
Refrigerators | 15 | ||
Water Baths and Heat Blocks | 15 | ||
Automated Analyzers | 15 | ||
Miscellaneous Equipment and Supplies | 15 | ||
Key Points | 16 | ||
3 The Microscope | 17 | ||
Outline | 17 | ||
Learning Objectives | 17 | ||
Key Terms | 17 | ||
Care and Maintenance | 20 | ||
Calibration of the Microscope | 21 | ||
Digital Microscopy | 21 | ||
Capturing Digital Images | 22 | ||
Resolution | 22 | ||
Types of Systems | 22 | ||
Quality | 23 | ||
Key Points | 23 | ||
4 The Metric System and Lab Calculations | 24 | ||
Outline | 24 | ||
Learning Objectives | 24 | ||
Key Terms | 24 | ||
Numbering Systems | 24 | ||
The Metric System | 24 | ||
The International System of Units | 25 | ||
Dilutions | 25 | ||
Scientific Notation | 26 | ||
pH and Logarithms | 26 | ||
Temperature Conversions | 26 | ||
Points of Equivalence | 26 | ||
Key Points | 27 | ||
5 Quality Control and Record Keeping | 28 | ||
Outline | 28 | ||
Learning Objectives | 28 | ||
Key Terms | 28 | ||
Accuracy, Precision, and Reliability | 28 | ||
Analysis of Control Materials | 29 | ||
Errors | 30 | ||
Preanalytic Variables | 30 | ||
Analytic Variables | 30 | ||
Applied Quality Control | 31 | ||
Laboratory Records | 31 | ||
Internal Records | 31 | ||
External Records | 31 | ||
Key Points | 31 | ||
Unit One Review Questions | 32 | ||
Chapter 1 | 32 | ||
Chapter 2 | 32 | ||
Chapter 3 | 33 | ||
Chapter 4 | 33 | ||
Chapter 5 | 33 | ||
Answers | 34 | ||
Chapter 1 | 34 | ||
Chapter 2 | 34 | ||
Chapter 3 | 34 | ||
Chapter 4 | 34 | ||
Chapter 5 | 34 | ||
Unit Two Hematology | 35 | ||
Unit Objectives | 35 | ||
Unit Overview | 35 | ||
Normal Values | 35 | ||
Unit Outline | 35 | ||
Recommended Reading | 35 | ||
Internet Resources | 35 | ||
6 Hematopoiesis | 36 | ||
Outline | 36 | ||
Learning Objectives | 36 | ||
Key Terms | 36 | ||
Hematopoiesis | 36 | ||
Erythropoiesis | 37 | ||
Thrombopoiesis | 38 | ||
Granulopoiesis | 38 | ||
Monopoiesis | 38 | ||
Lymphopoiesis | 38 | ||
Definitions | 39 | ||
Key Points | 39 | ||
7 Sample Collection and Handling | 40 | ||
Outline | 40 | ||
Learning Objectives | 40 | ||
Key Terms | 40 | ||
Collection and Handling of Blood Samples | 40 | ||
Collection Equipment | 40 | ||
Whole Blood | 41 | ||
Plasma and Serum | 41 | ||
Anticoagulants | 42 | ||
Heparin | 42 | ||
Ethylenediaminetetraacetic Acid | 42 | ||
Oxalates and Citrates | 42 | ||
Sodium Fluoride | 43 | ||
Sample Volume | 43 | ||
Collection Procedure | 43 | ||
Order of Draw | 44 | ||
Key Points | 44 | ||
8 Automated Analyzers | 45 | ||
Outline | 45 | ||
Learning Objectives | 45 | ||
Key Terms | 45 | ||
Cell Counts | 45 | ||
Types of Hematology Instruments | 46 | ||
Impedance Analyzers | 46 | ||
Quantitative Buffy Coat System | 47 | ||
Laser-Based Flow Cytometer Analyzers | 47 | ||
Histograms | 48 | ||
Manual Cell Counts | 49 | ||
Key Points | 50 | ||
9 Hemoglobin, PCV, and Erythrocyte Indices | 51 | ||
Outline | 51 | ||
Learning Objectives | 51 | ||
Key Terms | 51 | ||
Packed Cell Volume | 51 | ||
Significance of Packed Cell Volume Test Results | 54 | ||
Plasma Protein Concentration | 54 | ||
Hemoglobin Testing | 54 | ||
Erythrocyte Indices | 55 | ||
Mean Corpuscular Volume | 55 | ||
Mean Corpuscular Hemoglobin | 56 | ||
Mean Corpuscular Hemoglobin Concentration | 56 | ||
Key Points | 56 | ||
10 Evaluating the Blood Film | 57 | ||
Outline | 57 | ||
Learning Objectives | 57 | ||
Key Terms | 57 | ||
Preparation of Blood Films | 57 | ||
Staining Blood Films | 58 | ||
Performing the Differential Cell Count | 59 | ||
Absolute Values | 60 | ||
White Blood Cells | 61 | ||
Morphologic Features of Mammalian Leukocytes in Peripheral Blood | 61 | ||
Neutrophil. | 61 | ||
Band Neutrophil. | 62 | ||
Eosinophil. | 62 | ||
Basophil. | 63 | ||
Lymphocyte. | 63 | ||
Monocyte. | 63 | ||
Morphology of NORMAL Mammalian Erythrocytes in the Peripheral Blood | 64 | ||
Platelet Estimate | 64 | ||
Key Points | 65 | ||
11 Morphologic Abnormalities of Blood Cells | 66 | ||
Outline | 66 | ||
Learning Objectives | 66 | ||
Key Terms | 66 | ||
Quantifying Morphologic Changes | 66 | ||
Morphologic Abnormalities Seen in White Blood Cells | 67 | ||
Nuclear Hyposegmentation | 67 | ||
Nuclear Hypersegmentation | 67 | ||
Toxic Change | 67 | ||
Intracytoplasmic Inclusions in Infectious Diseases | 68 | ||
Atypical and Reactive Lymphocytes | 68 | ||
Lysosomal Storage Disorders | 68 | ||
Birman Cat Neutrophil Granulation Anomaly | 69 | ||
ChƩdiak-Higashi Syndrome | 69 | ||
Siderotic Granules | 69 | ||
Smudge Cells | 69 | ||
Karyolysis, Pyknosis, and Karyorrhexis | 69 | ||
Morphologic Abnormalities Seen in Red Blood Cells | 69 | ||
Variations in Cell Arrangement | 70 | ||
Rouleaux | 70 | ||
Autoagglutination | 70 | ||
Variations in Cell Size | 70 | ||
Anisocytosis | 70 | ||
Variations in Cell Color | 70 | ||
Polychromasia | 70 | ||
Hypochromasia | 70 | ||
Hyperchromatophilic | 71 | ||
Variations in Cell Shape | 71 | ||
Poikilocytes | 71 | ||
Schistocytes | 71 | ||
Acanthocytes | 71 | ||
Echinocytes | 72 | ||
Drepanocytes | 72 | ||
Keratocytes | 72 | ||
Spherocytes | 72 | ||
Leptocytes | 73 | ||
Elliptocytes (Ovalocytes) | 73 | ||
Eccentrocytes | 73 | ||
Dacryocytes | 73 | ||
Inclusions | 73 | ||
Basophilic Stippling | 73 | ||
Howell-Jolly Bodies | 73 | ||
Heinz Bodies | 74 | ||
Nucleated Erythrocytes | 74 | ||
Parasites | 74 | ||
Key Points | 76 | ||
12 Additional Hematologic Tests | 77 | ||
Outline | 77 | ||
Learning Objectives | 77 | ||
Key Terms | 77 | ||
Reticulocyte Count | 77 | ||
Bone Marrow Evaluation | 78 | ||
Collection of Bone Marrow Samples | 78 | ||
Aspiration Biopsy | 79 | ||
Core Biopsy | 79 | ||
Preparing Marrow Smears | 79 | ||
Evaluation of Bone Marrow Films | 80 | ||
Cells in Bone Marrow | 80 | ||
Reporting of Results | 82 | ||
Erythrocyte Sedimentation Rate | 82 | ||
Erythrocyte Osmotic Fragility | 82 | ||
Key Points | 83 | ||
13 Hematopoietic Disorders and Classification of Anemia | 84 | ||
Outline | 84 | ||
Learning Objectives | 84 | ||
Key Terms | 84 | ||
Disorders of the Bone Marrow | 84 | ||
Neoplasia | 84 | ||
Classification of Anemia | 85 | ||
Classification by Bone Marrow Response | 85 | ||
Classification by Red Blood Cell Size and Hemoglobin Concentration | 86 | ||
Classification by Etiology | 86 | ||
Hemolytic | 87 | ||
Hemorrhagic | 87 | ||
Iron Deficiency | 87 | ||
Production Disorders | 88 | ||
Key Points | 88 | ||
Unit Two Review Questions | 89 | ||
Chapter 6 | 89 | ||
Chapter 7 | 89 | ||
Chapter 8 | 90 | ||
Chapter 9 | 90 | ||
Chapter 10 | 91 | ||
Chapter 11 | 92 | ||
Chapter 12 | 92 | ||
Unit Three Hemostasis | 94 | ||
Unit Outline | 94 | ||
Unit Objectives | 94 | ||
Unit Overview | 94 | ||
Recommended Reading | 94 | ||
Internet Resources | 94 | ||
14 Principles of Blood Coagulation | 95 | ||
Outline | 95 | ||
Learning Objectives | 95 | ||
Key Terms | 95 | ||
Overview of Blood Coagulation | 95 | ||
Coagulation Testing | 97 | ||
Key Points | 97 | ||
15 Sample Collection and Handling | 98 | ||
Outline | 98 | ||
Learning Objectives | 98 | ||
Key Terms | 98 | ||
Sample Collection and Handling | 98 | ||
Coagulation Instrumentation | 99 | ||
Coag Dxā¢ Analyzer | 99 | ||
Fibrometer | 99 | ||
Thromboelastograph | 100 | ||
Platelet Function Analyzers | 100 | ||
Point-of-Care Analyzers | 100 | ||
Key Points | 100 | ||
16 Platelet Evaluation | 101 | ||
Outline | 101 | ||
Learning Objectives | 101 | ||
Key Terms | 101 | ||
Platelet Count | 101 | ||
Platelet Estimates | 101 | ||
Platelet Indices | 102 | ||
Mean Platelet Volume | 102 | ||
Plateletcrit | 102 | ||
Platelet Distribution Width | 102 | ||
Platelet Function Tests | 102 | ||
Additional Evaluations | 103 | ||
Key Points | 103 | ||
17 Coagulation Testing | 104 | ||
Outline | 104 | ||
Learning Objectives | 104 | ||
Key Terms | 104 | ||
Buccal Mucosa Bleeding Time | 104 | ||
Activated Clotting Time | 105 | ||
Whole Blood Clotting Time | 105 | ||
Activated Partial Thromboplastin Time | 106 | ||
Prothrombin Time Test | 106 | ||
Clot Retraction Test | 106 | ||
Fibrinogen Determination | 106 | ||
PIVKA | 106 | ||
D-Dimer and Fibrin Degradation Products | 107 | ||
Von Willebrand Factor | 107 | ||
Coagulation Factor Assays | 107 | ||
Key Points | 107 | ||
18 Disorders of Hemostasis | 108 | ||
Outline | 108 | ||
Learning Objectives | 108 | ||
Key Terms | 108 | ||
Hemostatic Defects | 108 | ||
Hereditary Coagulation Disorders | 108 | ||
Von Willebrand Disease | 109 | ||
Acquired Coagulation Disorders | 110 | ||
Thrombocytopenia | 110 | ||
Vitamin K Deficiency | 112 | ||
Disseminated Intravascular Coagulation | 112 | ||
Key Points | 113 | ||
Unit Three Review Questions | 114 | ||
Chapter 14 | 114 | ||
Chapter 15 | 114 | ||
Chapter 16 | 114 | ||
Chapter 17 | 114 | ||
Unit Four Immunology | 116 | ||
Unit Outline | 116 | ||
Unit Objectives | 116 | ||
Unit Overview | 116 | ||
Recommended Reading | 116 | ||
Internet Resources | 116 | ||
19 Basic Principles of Immunity | 117 | ||
Outline | 117 | ||
Learning Objectives | 117 | ||
Key Terms | 117 | ||
Innate Immune System | 117 | ||
Adaptive Immune System | 118 | ||
Humoral Immune System | 119 | ||
Cell-Mediated Immune System | 120 | ||
Immunologic Tolerance | 121 | ||
Passive Immunity | 121 | ||
Immunization | 121 | ||
Key Points | 122 | ||
20 Common Immunologic Laboratory Tests | 123 | ||
Outline | 123 | ||
Learning Objectives | 123 | ||
Key Terms | 123 | ||
Sample Collection and Handling | 123 | ||
Handling Serologic Samples | 124 | ||
Tests of Humoral Immunity | 124 | ||
Enzyme-Linked Immunosorbent Assay | 124 | ||
Competitive Enzyme-Linked Immunosorbent Assay | 127 | ||
Latex Agglutination | 127 | ||
Rapid Immunomigration and Immunochromatography | 127 | ||
Immunology Analyzers | 128 | ||
Key Points | 129 | ||
21 Blood Groups and Immunity | 130 | ||
Outline | 130 | ||
Learning Objectives | 130 | ||
Key Terms | 130 | ||
Blood Types | 131 | ||
Dogs | 131 | ||
Cats | 131 | ||
Cattle | 131 | ||
Sheep and Goats | 131 | ||
Horses | 131 | ||
Blood Typing | 131 | ||
The Tube Method | 131 | ||
The Card Agglutination Test | 132 | ||
Immunochromatographic Assay | 132 | ||
Crossmatching | 133 | ||
Key Points | 134 | ||
22 Intradermal Testing | 135 | ||
Outline | 135 | ||
Learning Objectives | 135 | ||
Key Terms | 135 | ||
Tests of Cell-Mediated Immunity | 135 | ||
Intradermal Tests | 135 | ||
Tuberculin Skin Test | 137 | ||
Key Points | 137 | ||
23 Reference Laboratory Tests | 138 | ||
Outline | 138 | ||
Learning Objectives | 138 | ||
Key Terms | 138 | ||
Coombs Testing | 138 | ||
Immunodiffusion | 138 | ||
Radioimmunoassay | 139 | ||
Fluorescent Antibody Testing | 139 | ||
Antibody Titers | 139 | ||
Molecular Diagnostics | 140 | ||
Reverse Transcriptase Polymerase Chain Reaction | 141 | ||
Real-Time Polymerase Chain Reaction | 141 | ||
Polymerase Chain Reaction | 141 | ||
Denaturation | 141 | ||
Annealing | 141 | ||
Extension | 142 | ||
Key Points | 142 | ||
24 Disorders of the Immune System | 143 | ||
Outline | 143 | ||
Learning Objectives | 143 | ||
Key Terms | 143 | ||
Hypersensitivity | 143 | ||
Key Points | 145 | ||
Unit Four Review Questions | 146 | ||
Chapter 19 | 146 | ||
Chapter 20 | 146 | ||
Chapter 21 | 146 | ||
Chapter 22 | 147 | ||
Chapter 23 | 147 | ||
Chapter 24 | 147 | ||
Answers | 148 | ||
Chapter 19 | 148 | ||
Chapter 20 | 148 | ||
Chapter 21 | 148 | ||
Chapter 22 | 148 | ||
Chapter 23 | 148 | ||
Chapter 24 | 148 | ||
Unit Five Urinalysis | 149 | ||
Unit Outline | 149 | ||
Unit Objectives | 149 | ||
Unit Overview | 149 | ||
Quality Assurance | 149 | ||
Recommended Reading | 149 | ||
Internet Resources | 149 | ||
25 Anatomy and Physiology of the Urinary System | 150 | ||
Outline | 150 | ||
Learning Objectives | 150 | ||
Key Terms | 150 | ||
Formation of Urine | 150 | ||
Ureters | 151 | ||
Urinary Bladder | 151 | ||
Urethra | 151 | ||
Urine Volume Regulation | 151 | ||
Key Points | 153 | ||
26 Sample Collection and Handling | 154 | ||
Outline | 154 | ||
Learning Objectives | 154 | ||
Key Terms | 154 | ||
Voided or Free Catch Samples | 154 | ||
Bladder Expression | 155 | ||
Catheterization | 155 | ||
Cystocentesis | 156 | ||
Specimen Storage and Handling | 157 | ||
Key Points | 158 | ||
27 Physical Examination of Urine | 159 | ||
Outline | 159 | ||
Learning Objectives | 159 | ||
Key Terms | 159 | ||
Urine Volume | 159 | ||
Color | 160 | ||
Clarity/Transparency | 160 | ||
Odor | 160 | ||
Specific Gravity | 161 | ||
Refractometer | 161 | ||
Causes of Altered Urine Specific Gravity | 162 | ||
Key Points | 162 | ||
28 Chemical Evaluation | 163 | ||
Outline | 163 | ||
Learning Objectives | 163 | ||
Key Terms | 163 | ||
pH | 163 | ||
Protein | 165 | ||
Protein Determination by Reagent Test Strips | 165 | ||
Protein Determination by Sulfosalicylic Acid Turbidity Test | 165 | ||
Urine Protein/Creatinine Ratio | 166 | ||
Interpretation of Protein in Urine | 166 | ||
Glucose | 166 | ||
Ketones | 167 | ||
Measurement of Urine Ketone Content | 167 | ||
Bile Pigments | 167 | ||
Blood (Hemoprotein) | 168 | ||
Hematuria | 168 | ||
Hemoglobinuria | 168 | ||
Myoglobinuria | 168 | ||
Leukocytes | 169 | ||
Urinalysis Analyzers | 169 | ||
Key Points | 169 | ||
29 Urine Sediment Analysis | 170 | ||
Outline | 170 | ||
Learning Objectives | 170 | ||
Key Terms | 170 | ||
Constituents of Urine Sediment | 172 | ||
Erythrocytes | 172 | ||
Leukocytes | 174 | ||
Epithelial Cells | 174 | ||
Squamous Epithelial Cells | 174 | ||
Transitional Epithelial Cells | 174 | ||
Renal Epithelial Cells | 174 | ||
Casts | 174 | ||
Hyaline Casts | 175 | ||
Granular Casts | 176 | ||
Epithelial Casts | 176 | ||
Leukocyte Casts | 176 | ||
Erythrocyte Casts | 176 | ||
Waxy Casts | 176 | ||
Fatty Casts | 176 | ||
Crystals | 176 | ||
Struvite | 178 | ||
Calcium Oxalate | 178 | ||
Uric Acid | 178 | ||
Amorphous Crystalline Material | 178 | ||
Calcium Carbonate | 179 | ||
Ammonium Biurate | 179 | ||
Sulfonamide | 179 | ||
Leucine | 179 | ||
Tyrosine | 179 | ||
Cystine | 180 | ||
Crystals Associated with Melamine Toxicity | 180 | ||
Microorganisms | 180 | ||
Parasite Ova and Microfilaria | 180 | ||
Miscellaneous Components of Urine | 181 | ||
Mucus Threads | 181 | ||
Spermatozoa | 181 | ||
Fat Droplets | 181 | ||
Artifacts | 181 | ||
Urolithiasis | 181 | ||
Key Points | 182 | ||
Unit Five Review Questions | 183 | ||
Chapter 25 | 183 | ||
Chapter 26 | 183 | ||
Chapter 27 | 183 | ||
Unit Six Clinical Chemistry | 185 | ||
Unit Outline | 185 | ||
Unit Objectives | 185 | ||
Unit Overview | 185 | ||
Recommended Reading | 185 | ||
Internet Resources | 185 | ||
30 Sample Collection and Handling | 186 | ||
Outline | 186 | ||
Learning Objectives | 186 | ||
Key Terms | 186 | ||
Plasma | 187 | ||
Serum | 187 | ||
Factors That Influence Results | 187 | ||
Hemolysis | 187 | ||
Chemical Contamination | 188 | ||
Improper Labeling | 188 | ||
Improper Sample Handling | 188 | ||
Patient Influences | 188 | ||
Reference Ranges | 188 | ||
Key Points | 189 | ||
31 Automated Analyzers | 190 | ||
Outline | 190 | ||
Learning Objectives | 190 | ||
Key Terms | 190 | ||
Photometry | 190 | ||
End Point Versus Kinetic Assays | 191 | ||
Units of Measurement | 192 | ||
Ion-Selective Electrode and Electrochemical Methods | 193 | ||
Features and Benefits of Common Chemistry Analyzer Types | 193 | ||
Instrument Care and Maintenance | 195 | ||
Key Points | 195 | ||
32 Protein Assays and Hepatobiliary Function Tests | 196 | ||
Outline | 196 | ||
Learning Objectives | 196 | ||
Key Terms | 196 | ||
Protein Assays | 196 | ||
Total Protein | 196 | ||
Albumin | 197 | ||
Globulins | 197 | ||
Albumin/Globulin Ratio | 198 | ||
Fibrinogen | 198 | ||
Hepatobiliary Assays | 198 | ||
Hepatocyte Function Tests | 198 | ||
Bilirubin | 199 | ||
Bile Acids | 199 | ||
Cholesterol | 200 | ||
Enzymes Released From Damaged Hepatocytes | 200 | ||
Alanine Transaminase | 201 | ||
Aspartate Transaminase | 201 | ||
Iditol Dehydrogenase (Sorbitol Dehydrogenase) | 201 | ||
Glutamate Dehydrogenase | 201 | ||
Enzymes Associated with Cholestasis | 201 | ||
Alkaline Phosphatase | 201 | ||
Gamma Glutamyltransferase | 202 | ||
Other Tests of Liver Function | 202 | ||
Key Points | 202 | ||
33 Kidney Function Tests | 203 | ||
Outline | 203 | ||
Learning Objectives | 203 | ||
Key Terms | 203 | ||
Blood Urea Nitrogen | 204 | ||
Serum Creatinine | 204 | ||
Blood Urea Nitrogen/ Creatinine Ratio | 204 | ||
Urine Protein/Creatinine Ratio | 205 | ||
Uric Acid | 205 | ||
Tests of Glomerular Function | 205 | ||
Creatinine Clearance Tests | 205 | ||
Endogenous Creatinine Clearance | 205 | ||
Exogenous Creatinine Clearance | 206 | ||
Iohexol Clearance | 206 | ||
Single-Injection Inulin Clearance | 206 | ||
Water-Deprivation Tests | 206 | ||
Vasopressin Response | 207 | ||
Fractional Clearance of Electrolytes | 207 | ||
Inorganic Phosphorus | 207 | ||
Enzymuria | 208 | ||
Key Points | 208 | ||
34 Pancreatic Function Tests | 209 | ||
Outline | 209 | ||
Learning Objectives | 209 | ||
Key Terms | 209 | ||
Exocrine Pancreas Tests | 210 | ||
Amylase | 210 | ||
Lipase | 210 | ||
Amylase and Lipase in Peritoneal Fluid | 210 | ||
Trypsin | 210 | ||
Serum Trypsinlike Immunoreactivity | 210 | ||
Serum Pancreatic Lipase Immunoreactivity | 211 | ||
Endocrine Pancreas Tests | 211 | ||
Glucose | 211 | ||
Fructosamine | 212 | ||
Glycosylated Hemoglobin | 212 | ||
Ī²-Hydroxybutyrate | 212 | ||
Glucose Tolerance | 212 | ||
Insulin Tolerance | 213 | ||
Glucagon Tolerance | 213 | ||
Insulin/Glucose Ratio | 214 | ||
Miscellaneous Tests of Insulin Release | 214 | ||
Key Points | 214 | ||
35 Electrolytes and Acid-Base Status | 215 | ||
Outline | 215 | ||
Learning Objectives | 215 | ||
Key Terms | 215 | ||
Acid-Base Balance | 215 | ||
Bicarbonate Buffer | 216 | ||
Potassium Buffer | 216 | ||
Protein Buffer | 216 | ||
Acidosis and Alkalosis | 216 | ||
Respiratory Acidosis and Alkalosis | 216 | ||
Metabolic Acidosis and Alkalosis | 217 | ||
Base Excess | 217 | ||
Electrolyte Assays | 217 | ||
Sodium | 217 | ||
Potassium | 217 | ||
Chloride | 218 | ||
Bicarbonate | 218 | ||
Magnesium | 219 | ||
Calcium | 219 | ||
Inorganic Phosphorus | 219 | ||
Anion Gap | 219 | ||
Key Points | 219 | ||
36 Miscellaneous Tests | 221 | ||
Outline | 221 | ||
Learning Objectives | 221 | ||
Key Terms | 221 | ||
Creatine Kinase | 221 | ||
Lactate | 222 | ||
Lactate Dehydrogenase | 222 | ||
Endocrine System Assays | 223 | ||
Adrenocortical Function Tests | 223 | ||
Adrenocorticotropic Hormone Stimulation Test | 223 | ||
Dexamethasone Suppression | 223 | ||
Corticotropin-Releasing Hormone Stimulation | 225 | ||
Thyroid Assays | 225 | ||
Thyroid-Stimulating Hormone Response | 225 | ||
Thyrotropin-Releasing Hormone Response | 226 | ||
Triiodothyronine Suppression Test | 226 | ||
Pituitary Function Tests | 227 | ||
Chemical Tests of Gastrointestinal Function | 227 | ||
Fecal Occult Blood | 227 | ||
Monosaccharide Absorption Tests | 227 | ||
d-Xylose Absorption | 227 | ||
Serum Folate and Cobalamin | 228 | ||
Mucin Clot Test | 228 | ||
Toxicology | 228 | ||
Toxicologic Specimens | 228 | ||
Lead Poisoning | 229 | ||
Nitrate or Nitrite Poisoning | 229 | ||
Anticoagulant Rodenticides | 230 | ||
Chemicals That Denature Hemoglobin | 230 | ||
Ethylene Glycol | 230 | ||
Drugs of Abuse | 230 | ||
Key Points | 231 | ||
Unit Six Review Questions | 232 | ||
Chapter 30 | 232 | ||
Chapter 31 | 232 | ||
Chapter 32 | 232 | ||
Chapter 33 | 233 | ||
Chapter 34 | 233 | ||
Chapter 35 | 233 | ||
Unit Seven Microbiology | 235 | ||
Unit Outline | 235 | ||
Unit Objectives | 235 | ||
Unit Overview | 235 | ||
Recommended Reading | 235 | ||
Internet Resources | 235 | ||
37 Introduction to Microbiology | 236 | ||
Outline | 236 | ||
Learning Objectives | 236 | ||
Key Terms | 236 | ||
Bacterial Cell Morphology | 236 | ||
Spores | 237 | ||
Bacterial Growth | 238 | ||
Fungal Characteristics | 238 | ||
Virology | 239 | ||
Cell Culture | 239 | ||
Immunologic and Molecular Diagnostics Examination | 239 | ||
Key Points | 240 | ||
38 Equipment and Supplies | 241 | ||
Outline | 241 | ||
Learning Objectives | 241 | ||
Key Terms | 241 | ||
The in-House Microbiology Laboratory | 241 | ||
Laboratory Safety | 241 | ||
Equipment and Supplies Needed for the Microbiology Laboratory | 242 | ||
Culture Media | 243 | ||
Types of Media | 243 | ||
Blood Agar | 243 | ||
MacConkey Agar and Eosin-Methylene Blue Agar | 244 | ||
Thioglycollate Broth | 244 | ||
Urea Tubes | 244 | ||
Sulfide-Indole Motility Tubes | 244 | ||
Simmons Citrate Tubes | 244 | ||
Triple Sugar Iron Agar | 244 | ||
BraināHeart Infusion Broth | 245 | ||
Mannitol Salt Agar | 245 | ||
Bismuth Sulfite Agar | 245 | ||
Mueller-Hinton Agar | 246 | ||
Sabouraud Dextrose and BismuthāGlucoseāGlycineāYeast Media | 246 | ||
Combination and Modular Culture Media | 246 | ||
Dermatophyte Test Media | 247 | ||
Quality Control Cultures | 247 | ||
Key Points | 247 | ||
39 Sample Collection and Handling | 248 | ||
Outline | 248 | ||
Learning Objectives | 248 | ||
Key Terms | 248 | ||
General Guidelines | 249 | ||
Collection of Viral Specimens | 250 | ||
Submission of Samples | 250 | ||
Key Points | 251 | ||
40 Staining Specimens | 252 | ||
Outline | 252 | ||
Learning Objectives | 252 | ||
Key Terms | 252 | ||
Gram Stain | 252 | ||
Procedure | 252 | ||
Interpretation | 253 | ||
Potassium Hydroxide Test | 254 | ||
Ziehl-Neelsen Stain | 254 | ||
Giemsa Stain | 254 | ||
Specialized Stains | 254 | ||
Quality Control | 255 | ||
Key Points | 255 | ||
41 Culture Techniques | 256 | ||
Outline | 256 | ||
Learning Objectives | 256 | ||
Key Terms | 256 | ||
Inoculation of Culture Media | 259 | ||
Streaking Culture Plates | 259 | ||
Inoculation of Slants | 260 | ||
Incubation of Cultures | 260 | ||
Colony Characteristics | 261 | ||
Culture of Anaerobes | 261 | ||
Key Points | 263 | ||
42 Antimicrobial Sensitivity Testing | 264 | ||
Outline | 264 | ||
Learning Objectives | 264 | ||
Key Terms | 264 | ||
Agar Diffusion Method | 264 | ||
Reading the Zones of Inhibition | 266 | ||
Interpretation of Zone Sizes | 267 | ||
Control Organisms | 267 | ||
Limitations of the Test | 267 | ||
Colony Count | 267 | ||
Key Points | 267 | ||
43 Additional Testing | 269 | ||
Outline | 269 | ||
Learning Objectives | 269 | ||
Key Terms | 269 | ||
Motility | 269 | ||
Catalase Test | 270 | ||
Coagulase Test | 270 | ||
Oxidase Activity | 270 | ||
Acid Production From Glucose | 271 | ||
California Mastitis Test | 271 | ||
Immunologic Examination | 272 | ||
Key Points | 272 | ||
44 Mycology | 273 | ||
Outline | 273 | ||
Learning Objectives | 273 | ||
Key Terms | 273 | ||
Dermatophyte Testing | 274 | ||
Fungal Cultures | 275 | ||
Key Points | 277 | ||
Unit Seven Review Questions | 278 | ||
Chapter 37 | 278 | ||
Chapter 38 | 278 | ||
Chapter 39 | 278 | ||
Chapter 40 | 278 | ||
Chapter 41 | 279 | ||
Chapter 42 | 279 | ||
Chapter 43 | 279 | ||
Unit Eight Parasitology | 281 | ||
Unit Outline | 281 | ||
Unit Objectives | 281 | ||
Unit Overview | 281 | ||
Classification of Parasites | 282 | ||
Zoonoses | 282 | ||
Recommended Reading | 282 | ||
Internet Resources | 282 | ||
45 Nematodes | 284 | ||
Outline | 284 | ||
Learning Objectives | 284 | ||
Key Terms | 284 | ||
Phylum Nematoda | 284 | ||
Ascaroidea (Ascarids) | 285 | ||
Strongyloidea | 289 | ||
Trichostrongyloidea | 291 | ||
Rhabditoidea (Strongyloides Spp.) | 292 | ||
Metastrongyloidea | 292 | ||
Trichuroidea (Trichuris Spp., Eucoleus Spp., and Trichinella Spiralis) | 293 | ||
Oxyuroidea | 295 | ||
Spiruroidea | 295 | ||
Dracunculoidea | 296 | ||
Dioctophymoidea | 296 | ||
Filaroidea | 297 | ||
Key Points | 298 | ||
46 Cestodes, Trematodes, and Acanthocephalans | 299 | ||
Outline | 299 | ||
Learning Objectives | 299 | ||
Key Terms | 299 | ||
Eucestodes | 299 | ||
Eucestodes of Dogs and Cats | 301 | ||
Dipylidium caninum | 301 | ||
Canine Taeniid Tapeworms | 302 | ||
Multiceps Species | 303 | ||
Echinococcus Species | 303 | ||
Eucestodes of Ruminants and Horses | 303 | ||
Larval Stages | 305 | ||
Eucestodes of Small Mammals | 305 | ||
Pseudotapeworms | 305 | ||
Trematodes | 306 | ||
Trematodes of Dogs and Cats | 307 | ||
Trematodes of Ruminants | 310 | ||
Acanthocephalans (Thorny-Head Worms) | 311 | ||
Key Points | 312 | ||
47 Protozoa and Rickettsia | 313 | ||
Outline | 313 | ||
Learning Objectives | 313 | ||
Key Terms | 313 | ||
Phylum Sarcomastigophora | 315 | ||
Giardia | 315 | ||
Trypanosomes | 316 | ||
Leishmania | 317 | ||
Trichomonads | 317 | ||
Histomonas | 317 | ||
Entamoeba | 318 | ||
Phylum Apicomplexa | 318 | ||
Cystoisospora | 318 | ||
Toxoplasma | 319 | ||
Cryptosporidium | 319 | ||
Sarcocystis | 319 | ||
Babesia | 319 | ||
Cytauxzoon | 322 | ||
Hepatozoon | 322 | ||
Eimeria | 322 | ||
Plasmodium | 323 | ||
Phylum Ciliophora | 323 | ||
Rickettsial Parasites | 323 | ||
Key Points | 325 | ||
48 Arthropods | 326 | ||
Outline | 326 | ||
Learning Objectives | 326 | ||
Key Terms | 326 | ||
Order: Siphonaptera (Fleas) | 327 | ||
Orders: Mallophaga and Anoplura (Lice) | 329 | ||
Order: Diptera (Flies) | 330 | ||
Blackflies and Midges | 331 | ||
Sandflies and Muscid Flies | 331 | ||
Deer Flies and Horseflies | 332 | ||
Sheep Keds | 332 | ||
Flies That Produce Myiasis | 332 | ||
Anopheles, Aedes, and Culex Species (Mosquitoes) | 333 | ||
Class: Acarina (Mites and Ticks) | 333 | ||
Ticks | 333 | ||
Mites | 335 | ||
Pentastomids (Tongue Worms) | 337 | ||
Phylum: Annelida (Segmented Worms) | 338 | ||
Hirudo Medicinalis (Medicinal Leech) | 338 | ||
Key Points | 338 | ||
49 Sample Collection and Handling | 340 | ||
Outline | 340 | ||
Learning Objectives | 340 | ||
Key Terms | 340 | ||
Collection of Fecal Samples | 340 | ||
Small Animal Fecal Samples | 340 | ||
Large Animal Fecal Samples | 341 | ||
Skin Scraping | 341 | ||
Cellophane Tape Preparation | 341 | ||
Vacuum Collection | 342 | ||
Sample Collection at Necropsy | 342 | ||
Collection of Blood Samples | 342 | ||
Key Points | 343 | ||
50 Diagnostic Techniques | 344 | ||
Outline | 344 | ||
Learning Objectives | 344 | ||
Key Terms | 344 | ||
Evaluation of Fecal Specimens | 345 | ||
Direct Smear | 345 | ||
Fecal Flotation | 345 | ||
Centrifugal Flotation | 346 | ||
Fecal Sedimentation | 347 | ||
Cellophane Tape Preparation | 348 | ||
Baermann Technique | 348 | ||
Miscellaneous Fecal Examinations | 349 | ||
Staining Procedures | 351 | ||
Evaluation of Blood Samples | 351 | ||
Direct Drop | 352 | ||
Filter Test | 352 | ||
Modified Knottās Test | 352 | ||
Immunologic and Molecular Diagnostic Tests | 352 | ||
Miscellaneous Parasitologic Evaluations | 353 | ||
Key Points | 357 | ||
Unit Eight Review Questions | 358 | ||
Chapter 45 | 358 | ||
Chapter 46 | 358 | ||
Chapter 47 | 359 | ||
Chapter 48 | 359 | ||
Chapter 49 | 360 | ||
Chapter 50 | 360 | ||
Answers | 361 | ||
Chapter 45 | 361 | ||
Chapter 46 | 361 | ||
Chapter 47 | 361 | ||
Chapter 48 | 361 | ||
Chapter 49 | 361 | ||
Chapter 50 | 361 | ||
Unit Nine Cytology | 362 | ||
Unit Outline | 362 | ||
Unit Objectives | 362 | ||
Unit Overview | 362 | ||
Recommended Reading | 362 | ||
Internet Resources | 362 | ||
51 Sample Collection and Handling | 363 | ||
Outline | 363 | ||
Learning Objectives | 363 | ||
Key Terms | 363 | ||
Swabs | 363 | ||
Scrapings | 364 | ||
Imprints | 364 | ||
Fine-Needle Biopsy | 365 | ||
Preparation of the Site for Fine-Needle Biopsy | 365 | ||
Selection of Syringe and Needle | 365 | ||
Aspiration Procedure | 365 | ||
Nonaspirate Procedure (Capillary Technique, Stab Technique) | 366 | ||
Tissue Biopsy | 366 | ||
Wedge Biopsy | 366 | ||
Punch Biopsy | 367 | ||
Centesis | 368 | ||
Color and Turbidity | 368 | ||
Transtracheal/Bronchial Wash | 369 | ||
Percutaneous Technique | 369 | ||
Orotracheal Technique | 369 | ||
Concentration Techniques | 370 | ||
Low-Speed Centrifugation | 370 | ||
Gravitational Sedimentation | 370 | ||
Membrane Filtration | 370 | ||
Cytocentrifugation | 371 | ||
Key Points | 371 | ||
52 Preparation of Cytology Smears | 372 | ||
Outline | 372 | ||
Learning Objectives | 372 | ||
Key Terms | 372 | ||
Smear Preparation | 372 | ||
Preparation of Smears From Solid Masses | 372 | ||
Compression Preparation | 372 | ||
Combination Technique | 373 | ||
Starfish Smear | 373 | ||
Preparation of Smears From Fluid Samples | 374 | ||
Line Smear | 374 | ||
Fixing and Staining the Cytology Sample | 374 | ||
Romanowsky Stains | 375 | ||
New Methylene Blue Stain | 376 | ||
Papanicolaou Stains | 376 | ||
Staining Problems | 377 | ||
Submission of Cytologic Preparations and Samples for Interpretation | 377 | ||
Key Points | 378 | ||
53 Microscopic Evaluation | 379 | ||
Outline | 379 | ||
Learning Objectives | 379 | ||
Key Terms | 379 | ||
Inflammation | 379 | ||
Neoplasia | 382 | ||
Key Points | 385 | ||
54 Cytology of Specific Sites | 386 | ||
Outline | 386 | ||
Learning Objectives | 386 | ||
Key Terms | 386 | ||
Peritoneal and Pleural Fluid | 386 | ||
Color, Turbidity, and Odor | 386 | ||
Total Nucleated Cell Count | 387 | ||
Cellular Elements | 387 | ||
Lymph Nodes | 389 | ||
Reactive Lymph Nodes | 390 | ||
Malignant Neoplasia | 390 | ||
Cerebrospinal Fluid | 390 | ||
Aqueous and Vitreous Humor | 391 | ||
Synovial Fluid Analysis | 391 | ||
Color and Turbidity | 391 | ||
Viscosity | 391 | ||
Tracheal Wash | 392 | ||
Nasal Flush | 394 | ||
Ear Swabs | 394 | ||
Vaginal Cytology | 394 | ||
Cell Types Seen on Vaginal Cytology Sample Preparations | 394 | ||
Anestrus | 394 | ||
Proestrus | 395 | ||
Estrus | 396 | ||
Metestrus | 396 | ||
Vaginitis and Metritis | 396 | ||
Semen Evaluation | 396 | ||
Volume of Ejaculate | 397 | ||
Gross Appearance of Ejaculate | 398 | ||
Sperm Motility | 398 | ||
Wave Motion | 398 | ||
Motility | 398 | ||
Sperm Concentration | 398 | ||
Live-to-Dead Sperm Ratio | 398 | ||
Sperm Morphology | 399 | ||
Other Cells in Semen | 400 | ||
Evaluation of Prostatic Secretions | 400 | ||
Examination of Milk | 400 | ||
Key Points | 400 | ||
Unit Nine Review Questions | 401 | ||
Chapter 51 | 401 | ||
Chapter 52 | 401 | ||
Chapter 53 | 401 | ||
Appendix A: Reference Ranges | 403 | ||
Appendix B: Bacterial Pathogens of Veterinary Importance | 406 | ||
Appendix C: Professional Associations Related to Veterinary Clinical Laboratory Diagnostics | 417 | ||
Appendix D: Common Parasites of Some Exotic Animal Species | 418 | ||
Parasites of Birds | 418 | ||
Glossary | 420 | ||
Index | 429 | ||
A | 429 | ||
B | 429 | ||
C | 430 | ||
D | 431 | ||
E | 432 | ||
F | 433 | ||
G | 433 | ||
H | 433 | ||
I | 434 | ||
J | 434 | ||
K | 434 | ||
L | 434 | ||
M | 435 | ||
N | 436 | ||
O | 436 | ||
P | 436 | ||
Q | 437 | ||
R | 437 | ||
S | 437 | ||
T | 438 | ||
U | 439 | ||
V | 439 | ||
W | 440 | ||
X | 440 | ||
Y | 440 | ||
Z | 440 | ||
Inside Back Cover | ibc1 |