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What is fecal cytology?
diagnosis of disease caused by microorganisms that live in the GI tract
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What are the two types of microorganisms?
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What is the most normal bacteria?
flora
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What happens when the flora overgrows?
causes disease
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What does a normal smear have?
bacteria everywhere
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Why is there bacteria in the GI tract?
- synthesize vitamins
- prevent colonization of pathogenic bacteria
- stimulate development of the caecum and Peyer's patches in the GI tract
- Stimulate production of cross-reactive antibodies
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What are the different shapes of bacteria?
- coccus/cocci
- bacillus/bacilli
- spirillium
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What does coccus/cocci look like?
spherical shape
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What does bacillus/bacilli look like?
rod shape
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What does spirillium look like?
comma or spiral shape
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What are the most common cocci?
- enterococcus faecalis
- staphylococcus aureus
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What is coliforms?
group of rod bacteria common in feces that can ferment lactose
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When do we do fecal cytology?
whenever we see diarrhea
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What kind of sample do we need to do fecal cytology and why?
- fresh sample
- samples more than 15 minutes old can be unrewarding as the bacteria causing the problem may be destroyed by exposure to room air
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How can we collect a fresh sample?
- gloved finger
- fecal loop
- thermometer (residue fromm thermometer)
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How do you make a fecal smear?
- spread to thin on a slide
- allow to air dry
- heat fix (hair dryer or flame)
- stain with diff quik
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What do you do if the smear is too thick?
mix with saline
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What does a normal fecal cytology look like?
- >90% mixed population of rods
- few epithelial cells
- few/no WBCs
- no RBCs
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What types of animals do we see campylobacteriosis in?
young animals in crowded conditions
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What are the signs of campylobacteriosis?
- mucoid diarrhea with or without blood
- fever
- inappetance
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What is campylobacter?
a type of spirillium
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What does campylobacter look like?
very skinny
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What do we scan for on 10x?
- large numbers of epithelial cells
- abnormal cells
- evaluate distribution of the sample and find a representative area to examine closer
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What do large numbers of epithelial cells indicate?
- intestinal irritation
- sloughing of intestinal mucosa
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What do abnormal cells look like under 10x?
large cells with abnormal nuclei, dark staining, variable N:C ratio
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What do we look for under 40x?
- RBCs and WBCs
- scan multiple fields and evaluate the numbers of RBCs and WBCs per hpf
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What do we look for under 100x?
- is the population of bacteria > or = to 90% rods?
- are the rods of different lengths and widths?
- do you notice any sporulated bacteria?
- are there cocci present?
- do you see spirillium?
- do you see any other organisms or cells?
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When you see RBCs in a fecal smear what does that mean?
intestinal bleeding
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What does it mean when there is more WBCs than RBCs?
indicates colonic inflammation
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What could cause colonic inflammation?
- infection
- dietary indiscretion
- parasites
- protozoa
- neoplasia
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What is the active for of giardia?
trophozoites
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What does trophozoites look like?
pear shaped, bi-nucleate, flagellated
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What form of giardia is out in nature that the animal ingests?
cysts
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What does the cyst for of giardia look like?
oval shaped
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What does balantidium look like?
- huge (40 - 60um)
- ciliated all the way around
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What is histoplasma?
fungal organism
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What is this?
balantidium (huge, ciliated)
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What is this?
campylobacter (very skinny)
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What is the arrow pointing to?
clostridium (hole in the center)
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What type of cells are these?
columnar epithelial cells
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What is beside A, B, and C?
- A: squamous cells
- B: WBC
- C: RBC
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What is this?
histoplasma
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What is the arrow pointing to?
squamous cell
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What is this?
trophozoite (pear shaped, bi-nucleate, flagellated)
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