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Flashcards in this deck (53)

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  • What is decalcification?


    Removal of calcium ions or lime salts from organic extracellular matrix, calcified collagen, and surrounding tissues of bones.

    histopathology decalcification
  • Is decalcification a mandatory step in tissue processing?


    No, decalcification is not a mandatory step.

    histopathology decalcification
  • What must be achieved before decalcification?


    Adequate fixation must be achieved prior to decalcification.

    histopathology decalcification
  • What is the ideal thickness for decalcification?


    1-3 mm.

    histopathology decalcification
  • What is the ratio of fluid to tissue for decalcification?


    20:1.

    histopathology decalcification
  • What can speed up decalcification?


    Heat and constant agitation.

    histopathology decalcification
  • What is the optimal temperature for decalcification?


    Room temperature.

    histopathology decalcification
  • Can the Autotechnicon perform decalcification?


    No, decalcification must be done manually.

    histopathology decalcification
  • What is the electrolytic method of decalcification?


    Calcium ions are attracted to negatively charged electrodes, facilitating removal.

    histopathology decalcification
  • What is the duration for the electrolytic method?


    Most rapid method, duration depends on electric current supply.

    histopathology decalcification
  • What does the ion exchange resin method involve?


    Calcium is removed by formic acid solution, increasing tissue solubility.

    histopathology decalcification
  • How long does the ion exchange resin method take?


    1-14 days.

    histopathology decalcification
  • What is the role of EDTA in decalcification?


    EDTA is a potent anticoagulant but weak as a decalcifying agent.

    histopathology decalcification
  • What is the disadvantage of using EDTA?


    It can inactivate alkaline phosphatase activity.

    histopathology decalcification
  • What is the remedy for EDTA's disadvantage?


    Addition of Magnesium chloride.

    histopathology decalcification
  • How long does EDTA take for small specimens?


    1-3 weeks.

    histopathology decalcification
  • How long does EDTA take for dense tissues?


    6-8 weeks.

    histopathology decalcification
  • What is the most common method of decalcification?


    The use of acid.

    histopathology decalcification
  • What is the risk of using concentrated solutions in decalcification?


    It can be damaging to tissues.

    histopathology decalcification
  • What is the purpose of nitric acid in decalcification?


    Routine decalcification, typically for 24 hours.

    histopathology decalcification
  • What is Formol nitric acid made of?


    Nitric acid + Formaldehyde.

    histopathology decalcification
  • What is the duration for Formol nitric acid decalcification?


    1-3 days.

    histopathology decalcification
  • What is Perenyi’s fluid composed of?


    Nitric acid + Chromic acid + Ethyl alcohol.

    histopathology decalcification
  • What is a common duration for decalcifying agents?


    2-7 days

    decalcification duration
  • What is the combination of Phloroglucin used for rapid decalcification?


    Phloroglucin + Nitric acid

    decalcification agents
  • Why is Hydrochloric acid (HCl) not commonly used?


    Weak and slow

    decalcification hcl
  • What is Von Ebner’s solution used for?


    Teeth & small pieces of bones

    decalcification von_ebner
  • What does Formic acid decalcify?


    Cartilage, research specimens, autopsy specimens, bone marrow

    decalcification formic_acid
  • What is TCA in terms of decalcifying agents?


    Weak & slow decalcifying agents

    decalcification tca
  • What is a disadvantage of Chromic acid?


    Environmental toxin, highly corrosive on skin

    decalcification chromic_acid
  • What does Citric acid contain as a preservative?


    Chloroform

    decalcification citric_acid
  • What is the most reliable method for testing decalcification?


    X-Ray / Radiologic method

    decalcification testing x-ray
  • What does an opaque appearance in X-ray films indicate?


    Inadequate decalcification

    decalcification x-ray
  • What is the chemical method for testing decalcification?


    Calcium oxalate test

    decalcification testing chemical
  • What indicates incomplete decalcification in the calcium oxalate test?


    Cloudiness after adding ammonium oxalate

    decalcification testing cloudiness
  • What is the bubble test used for?


    To check if decalcification is complete

    decalcification testing bubble_test
  • How are decalcified tissues neutralized?


    Immerse in lithium carbonate or sodium bicarbonate

    decalcification neutralization
  • What are some softeners for overly hard tissues?


    2% HCl in 70% alcohol, Perenyi’s fluid, Molliflex

    tissue_softeners decalcification
  • What is Lendrum’s method for?


    Softening hard tissues

    tissue_softeners lendrum's_method
  • What is the purpose of dehydration in tissue processing?


    Removal of water from tissues

    dehydration tissue_processing
  • What is the common agent used for dehydration?


    Alcohol

    dehydration agents alcohol
  • What concentration of alcohol is correct for routine dehydration?


    70-80%

    dehydration alcohol routine
  • What is the effect of 95% alcohol on tissues?


    Harden surface but not penetrate deeper

    dehydration alcohol 95%
  • What is the acceptable concentration for delicate tissues like embryos?


    30% alcohol

    dehydration delicate_tissues
  • What is Acetone used for in dehydration?


    Can fix & dehydrate tissue

    dehydration acetone
  • What is the risk associated with Ethylene glycol monoethyl ether?


    Toxic by ingestion, inhalation, skin contact

    dehydration ethylene_glycol
  • What does Triethyl phosphate cause during dehydration?


    Minimum shrinkage

    dehydration triethyl_phosphate
  • What is Tetrahydrofuran used for?


    Can dehydrate and clear tissues

    dehydration tetrahydrofuran
  • What is the function of 'rate'?


    • A dehydrating agent
    • A clearing agent
    chemistry agents
  • Is 'rate' toxic?


    Yes, toxic if ingested or inhaled

    safety toxicity
  • What symptoms can 'rate' vapors cause?


    • Nausea
    • Dizziness
    • Headache
    health symptoms
  • What should be done when using 'rate'?


    Room should be well ventilated

    safety ventilation
  • What is a notable characteristic of 'rate'?


    It has an offensive odor

    properties odor