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Vitro Information and Courses from MediaLab, Inc.

These are the MediaLab courses that cover Vitro and links to relevant pages within the course.

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CLIA Blood Banking Review
Proteolytic enzyme techniques may be useful in identifying which of the following antigen groups:View Page

CLIA Hematology / Hemostasis Review
A yellow coloration found in fresh cerebrospinal fluid is termed:View Page

CLIA Microbiology / Serology Review
MIC is an acronym for:View Page

Descriptive Statistics
Table Specifications

Here are the criteria for the preparation of tables, as specified by the Journal of Clinical Laboratory Science: Write table titles at the top of the table. Number tables sequentially with Roman numerals. Include the following information in a title, whenever possible: who, what, where, why and when. Put the independent variable in the left column, and the dependent variable in the right, if you are listing data with independent and dependent variables. Label each column with the appropriate units. Adequately space tables that appear on the same page. Example:Table I Patient specimens analyzed for blood urea nitrogen on the Dimension RxL and the Vitros 250 at City Hospital Sample # RxL (mg/dL urea) Vitros 250 (mg/dl) urea 1 8.8 8.8 2 11.2 10.0 3 12.4 13.6 4 16.2 13.2 5 20.0 21.2 6 25.0 20.0 7 28.8 26.2 In this case, the Dimension RxL is the "reference method" and is considered the independent variable, while the Vitros 250 is the "test method" and is considered the dependent variable.

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Fundamentals of Molecular Diagnostics
Terms and Definitions

Term Definition Codon A three nucleotide base sequence that codes for an amino acid Genome The genetic code composed of 64 codons that code for 21 amino acids and 3 stop codons. (amino acids are the building blocks of proteins and stop codons stop the writing process much like a period at the end of a sentence) Nucleic acid Polymer made of monomers; two examples are RNA and DNA Transcription Process of transferring information from DNA into an RNA message Translation The formation of an amino acid from RNA Deoxyribonucleic Acid (DNA) A double-stranded polymer of nucleotides that houses genetic information Ribonucleic acid (RNA) Typically a single-stranded polymer that is much shorter than DNA but chemically similar with a few differences (e.g.- uracil replaces thymine). Replication Reproduction of DNA content from parent to daughter cell during cell division Amplification methods Techniques that increase the amount of the target, the detection signal, or the probe so that sequences are readily detected Fluorescence The emission of light at a longer wavelength when the light is excited at a shorter wavelength Oligonucleotide Short single-stranded nucleic acid Probe A nucleic acid used to identify a hybridization target Polymerase Chain Reaction (PCR) An amplification method performed in vitro

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Mycology: Yeasts and Dimorphic Pathogens
The forms seen in this photomicrograph, produced from a light inoculum of an unknown yeast colony incubated in rabbit plasma at 35°C for 2 hours, leads to the presumptive identification of:View Page

Red Cell Morphology
Conditions Associated with Spherocytes

Examples of conditions in which spherocytes can be seen include hereditary spherocytosis and immune hemolytic anemias (i.e., ABO incompatibility). Spherocytes can also form in conditions where there has been a direct physical or chemical injury to the cells. An example would be a smear from an individual who has suffered severe burns. In hereditary spherocytosis, a condition where spherocytes are numerous, the MCHC value will be at the upper limits of normal, or about 36. The identification of spherocytes on the smear of a patient with hereditary spherocytosis can aid significantly in the diagnosis of the disorder. In Artifactual spherocytes can appear when blood is stored for a prolonged period of time.

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Summary

It is important to differentiate in vitro changes which are secondary to preparing the slide, from in vivo morphology, which is the result of the pathophysiological condition of the patient. Examining erythrocytes in the critical viewing area is extremely important in making this distinction. The determination of the clinical significance of the morphology reported is the responsibility of the physician, who must correlate the blood smear findings with the clinical diagnosis, and other laboratory parameters.

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Another Target Cell

Another example of a target cell (or codocyte) is seen in the center of this slide. Notice that the hemoglobin in the center of this cell is somewhat lighter in appearance than in the previous slide. A second codocyte can be seen in the upper left portion of the slide. Codocytes appear in conditions which cause the surface of the red cell to increase disproportionately to its volume. This may result from a decrease in hemoglobin, as in iron deficiency anemia, or an increase in cell membrane. Target cells have excess membrane cholesterol and phospholipid and decreased cellular hemoglobin. Examples of other conditions in which target cells may be present include thalassemias, hgb C disease, post splenectomy and obstructive jaundice. Since their presence can be the result of an in vitro artifact, their value in clinical diagnosis is limited.

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Notes about Poikolocytosis

Some forms of poikilocytosis represent in vitro artifact rather than being the result of abnormal physiology within the body. Inconsistent terminology also hampers communication about red cell morphology, in that various terms are used to describe the same type of change. Uniform terminology based on Greek roots has been applied in an attempt to provide standardization, although it has not been widely accepted.

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Stomatocyte

The term, stomatocyte, is derived from the Greek term, stoma, meaning mouth. Stomatocytes are cup-shaped erythrocytes which have an elongated or slit-like central pallor. The occasional stomatocyte seen in normal smears is the result of a slight pH change in the environment similar to the in vitro changes which cause cells to assume the echinocyte shape. A stomatocyte can be seen in the center of this slide.

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