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Clinical Pathology

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Elizabeth Fernandez- Technician. Kay Duncan- Technician time. Todd Stewart- student worker ... Shannon Davis. Mission. Service. ... – PowerPoint PPT presentation

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Title: Clinical Pathology


1
Clinical Pathology
2
Clinical Pathology
  • Located in Room 2020
  • Full service laboratory
  • Hematology, clinical chemistry, urinalysis,
    cytology, coagulation, blood bank
  • Provide 24 / 7 service
  • Daytime M-F 800 am 900 pm
  • Weekends Sat and Sun 800 am 1100 pm
  • After hours On call night technicians

3
Administrative
Emily Kearney
Darla Montalvo
4
Technical Daytime
Catherine Samway
Elaine Nicholds
Myriah Vineyard
Barbara Dott
Al Brant
5
TechnicalAfter Hours
Not pictured
Marty Moore
Heidi Ertresvaag
Wendy Browning
Chase Ratliff
Jeri Grotberg
Melanie Aschenberg
Amber Ducote
Courtney Duncan
6
Pathology Residents
Dr. Mary Nabity
Dr. Angela Wilcox
Dr. Seth Chapman
7
Pathologists
Dr. Mark Johnson
Dr. Shashi Ramaiah
Dr. Karen Russell
8
What We Do
  • Clinical Service
  • Research Support
  • Residency Training
  • Teaching

9
What We Do
  • Laboratory support for Clinics and Research
  • Hematology (8,200 samples)
  • Clinical Chemistry (10,000 samples)
  • Cytology (1,600 samples)
  • Urinalysis (2,500 samples)
  • Coagulation (2,100 samples)
  • Blood Bank (350 samples)
  • Central receiving for outside labs
  • Send-out laboratory (6,200 samples)

10
What We Do
  • Residency Training
  • The goal of the resident training program in
    veterinary pathology is to provide veterinarians
    with the necessary background and knowledge to
    pursue successful careers in veterinary
    pathology.
  • Generally have 2 - 4 residents
  • 3 year program for clinical training
  • Teaching
  • Clinical service
  • Graduate courses
  • An additional 3 - 4 years to complete a PhD

11
What We Do
  • Residency Training, cont
  • Since 1995
  • 7 (past) residents 3 (current) residents
  • 6 / 7 are ACVP Diplomates
  • 2 / 7 have received a PhD
  • Where are they now?
  • Academia (TAMU, Purdue, Auburn, MD Anderson)
  • Industry (Eli Lilly)
  • Referral Labs (IDEXX)

12
What We Do
  • Teaching
  • 4th year veterinary students (2-week rotation)
  • 3rd year veterinary student elective
  • 2nd year veterinary students
  • General Pathology VTPB 922
  • Systemic Pathology VTPB 923

13
What We Do
  • Laboratory Visitors
  • Rotations in the laboratory ( 1 - 4 wks)
  • Interns, residents, faculty 28
  • Texas AM 22
  • Other US universities 4
  • International universities 2
  • Technicians 1

14
For More Info andHow to Contact Us
  • Main Lab Number (979) 845 - 9180
  • http//www.cvm.tamu.edu/clinpath/

15
Clinical Immunology
Infectious Agents Immune-Mediated Phenomena
16
Clinical Immunology
  • Monthly Tests 2005 2006
  • Heartworm 63 53
  • EIA (Coggins) 46 37
  • FeLV/FIV 14 13

17
Clinical Immunology Other Tests Infectious
Agents
  • Virus
  • EIAV (ELISA)
  • FeLV (ELISA)
  • Feline Heartworms
  • Antibody (ELISA)
  • Antibody Antigen (ELISA)
  • Fungal
  • Blastomyces dermatitdis (AGID)
  • Coccidioides immitis (AGID)
  • Cryptococcus neoformans Antigen
  • Histoplasma capsulatum (AGID)
  • Fungal AGID (4 Fungi)

18
Clinical Immunology Other Tests Immune-Mediated
Process
  • Coombs
  • Antinuclear Antibody
  • LE Prep

19
Clinical Immunology Future?
  • Flow Cytometry
  • Immunophenotyping (Leukemia)
  • Reticulated Platelet CountReticulocyte Count
  • Immune-Mediated Phenomena Platelet-Associated
    Immunoglobulin Erythrocyte-Associated
    Immunoglobulin

20
Clinical Immunology Immunophenotyping?
Canine Undifferentiated Myeloid Leukemia
Mature Neutrophils
21
Clinical Immunology Reticulated Platelets /
Reticulocytes ?
22
Clinical Immunology Reticulated Platelets /
Reticulocytes ?
Immune-Mediated Thrombocytopenia
responded to therapy no bone marrow analysis
available
23
Clinical Immunology Reticulated Platelets /
Reticulocytes ?
Myasthenia Gravis
azathioprine therapy 2 pneumonia ?
euthanasia bone marrow hypoplasia
24
Clinical Immunology Surface Immunoglobulin?
25
Clinical Immunology Future?
  • Molecular Diagnostics
  • Clonality by PCR
  • (Lymphoma/Reactive)

26
Clinical Immunology
  • Infectious Agents
  • Immune-Mediated Phenomena
  • More?

27
Clinical Microbiology
28
Clinical Microbiology
  • Where we are
  • Located in 2015 VMTH
  • Laboratory hours 8-5, Monday-Friday 9-noon on
    Saturday
  • Student worker on call at 412-3336 (old pager not
    functioning)
  • Dr. Libal cell 218-0520
  • home 764-3940

29
Clinical Microbiology
  • Who we are
  • Rosa Gonzalez- Laboratory supervisor
  • Elizabeth Fernandez- Technician
  • Kay Duncan- Technician ½ time
  • Todd Stewart- student worker
  • Lane Roasa- on call/student worker
  • Melissa C. Libal

30
Kay Duncan
31
Rosie Gonzalez
32
Todd Stewart
33
Lizzie Fernandez
34
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35
Clinical Microbiology
  • What we do
  • Clinical service
  • Teaching
  • Research support
  • Residency training

36
Clinical Service
  • 2005
  • Bacterial cultures- 3726
  • Susceptibility testing- 2647
  • Fungal cultures- 170
  • Environmental cultures of large and small animal
    clinics- 6243
  • Clostridium toxin testing- 91

37
Teaching
  • Senior veterinary student rotations
  • Undergraduate

38
Other
  • Research support
  • Antimicrobial resistance
  • Johnes
  • Epidemiology of infectious disease
  • Residency program
  • Goal
  • Graduate degree
  • ACVM boards

39
Newly acquired equipment
  • Bactron I anaerobe hood
  • Increase quantity/quality of anaerobic culture
    capability
  • Trek (Sensititre) MIC system
  • testing on food animal pathogens
  • testing on small animal/equine pathogens for
    veterinary drugs
  • Research capability

40
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41
Clinical Parasitology
42
Clinical Parasitology what we are
  • A lab designated to the diagnosis of parasitic
    disease in vertebrate hosts
  • Aid in evaluation of animal wellness programs
  • Aid in research programs

43
Clinical Parasitologywho we are
  • Craig, Cyr, Holeman, Snowden
  • Whagela, Wagner
  • ElGayar, Smith

44
Clinical ParasitologyWhat We Do
  • Located in Room 320 VMA
  • Laboratory diagnosis of parasitic
  • Helminths
  • Protozoa
  • Arthropods
  • Provide service
  • Daytime M-F 830 am 500 pm
  • After hoursby arrangement

45
What We Do
  • Laboratory support
  • Clinics and Research projects
  • Fecal examinations
  • Blood examinations
  • Serology, PCR (limited)
  • Tissues, worm counts, identification
  • Consultation
  • 1 5 telephone calls / day veterinarians,
    general public, extension, industry

46
Clinical ParasitologyWho We Work For
  • Clinical Service
    teaching hospital TVMDL veterinarians
  • Research Support
    CVM TAES other
  • Teaching
  • students
  • producers

47
What We Do
  • Teaching
  • 4th year veterinary students (2-week rotation)
  • 2nd year veterinary students Parasitology VTPB
    920
  • Graduate students Helminthology
    VPAR 601 or Protozoology VPAR 604

48
Immunopathology/ Histopathology Service
49
Personnel
  • Dr. Andy Ambrus
  • Supervisor
  • Immunopathology
  • lab
  • Rosemary Vollmar
  • Supervisor
  • Histopathology lab

50
Personnel
  • Susan Hernandez
  • Histotechnician/
  • Immunotechnician
  • Chaitali Mukherjee
  • Histotechnician
  • Allison Tewell
  • Student worker

51
Personnel
  • Shannon Davis
  • Dawn Currin
  • Cheryl Chamblee
  • Sharon Dickerson

52
Mission
  • To supply histopathology and immunopathology
    support to the VTH, pathology services, and
    research components at TAMU

53
Goals
  • To provide rapid as possible turn around times
    for diagnostic and research histopathology
    specimens
  • To provide quality specimens for all services
  • To provide accurate immunostaining for
    challenging diagnostic cases and research
    interests

54
Laboratory Accessions 05
  • Total Procedures
  • 22,573
  • Total Proc/Emb/HE
  • 13,461
  • Total Special Stains
  • 2,575
  • Total Immunopathology Procedures
  • 1,572

55
Histology
56
Immunohistochemistry
57
Immunocytochemistry
58
Immunocytochemistry
59
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60
Surgical pathology
61
People
  • Dr. Roy Pool.
  • Dr. Joanne Mansell.
  • Dr. Jairo Nunes.
  • Dawn Currin
  • Shannon Davis.

62
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63
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64
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65
Mission
  • Service. Surgical pathology support for the VMTH
    small and large animal clinics
  • Teaching. 6 anatomic pathology residents rotate
    with faculty.
  • Research. Mostly collaborative with clinicians
    in small and large animal clinics.

66
Service
  • Real time web site for surgical results
  • http//vtpb-www.cvm.tamu.edu/surgpath/daily.lasso
  • Approximately 800-900 cases/yr

67
  • We encourage clinician-pathologist interaction.
  • Review slides with clinicians, clinical
    residents, and students
  • Love to be invited to clinic to see clinical cases

68
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69
Teaching
  • There are 6 anatomic pathology residents who
    rotate on the service with faculty.
  • Residents and students in the clinic are welcome
    to come and look at slides of their cases.

70
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71
Research
  • Collaborative publications with clinicians in the
    VMTH, and pathologists at other institutions.
  • Presentations at national and international
    meetings.

72
Dermatopathology
  • National and state specialty service
  • Approx 2000 cases/yr
  • One of 3 universities with dermpath services.
  • Provides cases for teaching, publications, and
    presentations at national international
    meetings.
  • Joanne Mansell. Melanie Buote training on
    service. Previous faculty Dunstan, Credille,
    Mecklenburg

73
Orthopedic pathology
  • National and state specialty service
  • Approx 260 cases/yr
  • One of 2 universities with osteopath service
  • Provides cases for teaching, publications, and
    presentations
  • Dr. Pool
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