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Staining

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Question
Answer
Artifact pigment   Formed as a result of chemical action - fixation, processing, usually on tissue, not w/i cell, e.g. formalin, mercury, chrome pigments  
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Exogenous pigment   From outside the body, carbon pigment, asbestos fibers, tattoo pigments, metals - normal (iron) or pathologic (copper)  
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Carbon pigment   Seen in lung & lymph node, resists bleaching & extration, insol. in conc'd sulfuric acid - use to differentiate  
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Asbestos fibers   Birefringent, magnesium silicate, in body fibers coated w/ iron-containing protein, known as asbestos bodies, lose birefringence demo w/ Prussian blue  
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Endogenous hematogenous pigments   From blood, e.g. hemoglobin, hemosiderin, biliverdin  
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Hemoglobin   Conjugated protein, anionic, stains w/ acid dyes (eosin), hemoglobin breaks into globin protein & heme, heme splits into iron & biliverdin  
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Hemosiderin   Yellow to brown pigment, stored iron (Fe2+), usu. in marrow, pathologic elsewhere (liver), differentiate from other yellow-brown pigments w/ Prussian blue rxn  
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Hemochromatosis   Disease caused by excessive absorption of dietary iron, excessive hemosiderin deposits in liver, pancreas, damaging to tissue  
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Biliverdin   Greenish bile pigment, prod'd from destruction of rbc, liver red. to bilirubin - remove from circulation, abnormal accumulation - jaundice, pigment in bile canaliculi, cytoplasm of Kupffer cells & hepatocytes  
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Hematoidin   Similar to bilirubin, ox. to bilirubin, formed as result of hemorrhage & red'd O2 tension  
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Endogenous nonhematogenous pigments   Lipid - e.g. lipofucsin, ceroid, nonlipidic - e.g. melanin  
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Melanin pigment   Formed by ox. tyrosine, histochem. demo melanocytes, bleach w/ H2O2, potassium permanganate & oxalic acid, dissolved by strong alkali, insol. weak acid, base, organic solvents, argentaffin, positive Schmorl  
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Lipofuscin pigment   "Wear & tear" pigment, yellow-brown, in more permanent cells (heart, liver, neurons)  
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Ceroid pigment   Brownish-yellow, hepatocytes & macrophages of rats w/ cirrhosis, rarely seen in humans  
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What stains for lipofuscin & ceroid pigments?   Oil red O, Sudan black B, & PAS, differentiate - ceroid is acid-fast, lipofsucin is not  
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Engodenous deposits   Urate crytals (gouty tophi), chronic gout may deposit in soft tissue too, sol. in water, alcoholic fix., birefringent w/ polarizing, demo w/ argentaffin rxn  
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Minerals   Special stains can demo: Ca2+, Fe2+/Fe3+, Cu2+, PO43+, CO32+, silver, lead, copper, gold, microincineration can be used to ID inorganic components  
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Cytoplasmic granules   Adrenal chromaffin granules, pancreatic endocrine cells, GI enterochromaffin cells, "C" cells of thyroid, some pituitary cells, are APUD cells demo w/ argyrophil or argentaffin rxns, fixative v. important  
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APUD cells   Have high uptake of amine-precursors & ability to decarboxylate  
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Best fixative for chromaffin granules?   Primary chromate fixatives, e.g. Orth  
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Argentaffin granules of GI are destroyed by?   Alcoholic fixatives  
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Paneth cell granules are destroyed by?   Acetic acid  
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Prussian blue stain purpose   Detect ferric (Fe3+) iron, usu. small amount in marrow & spleen, large deposits - hemochromatosis, hemosiderosis  
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Prussian blue stain facts   Fixative: alcohol or 10% NBF, QC: section w/ Fe3+, don't want excess iron, chemically clean glassware, iron-free reagents  
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Prussian blue stain solutions   potassium ferrocyanide 2% (bind Fe3+) HCl 2% (acidify) nuclear-fast red  
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Prussian blue stain results   nuclei & hemofuchsin - bright red hemosiderin (iron) - blue background - pink  
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Nuclear-fast red solution   aluminum sulfate nuclear-fast red thymol (preservative) dH2O  
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Fixation for iron demo:   Some acidic fixatives & decal. solns. dissolve iron, can demo iron after Zenker w/ acetic acid, but mercury - bad, best to use another fixative & decal briefly in acetic or formic acid  
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Turnball blue stain purpose   Detect ferrous (Fe2+) iron, ferrous iron v. toxic, not normally stored, easily absorbed by intestine but converted to ferric, used w/ Schmorl technique  
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Turnball blue stain facts   Fixative: alcohol or 10% NBF QC: section w/ Fe2+  
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Turnball blue stain solutions   potassium ferricyanide staining soln. (bind Fe2+) acetic acid 1% (post-stain rinse) nuclear-fast red  
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Turnball blue stain results   ferrous iron - blue background - pink-red  
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Potassium ferricyanide staining solution   potassium ferricyanide HCl 0.06N  
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Schmorl technique purpose   Indicate reducing substances - will red. ferric ions, stains melanin, argentaffin granules, formalin pigment, mostly replaced by IHC  
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Schmorl technique facts   Fixative: 10% NBF QC: section w/ melanin or argentaffin granules  
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Schmorl technique solutions   ferric chloride-potassium ferricyanide working soln. pH 2.4 Mayer mucicarmine soln. or metanil yellow  
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Schmorl technique results   reducing/argentaffin substances - blue-green goblet cells, mucin - rose background - yellow-green (less better)  
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Mayer mucicarmine solution   carmine alum lake aluminum hydroxide anhy. aluminum chloride 50% ethanol 25% ethanol  
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Fontana-Masson & microwave Fontana-Masson stains purpose   Demo argentaffin substances, e.g. melanin, argentaffin granules of carcinoid tumors, some neurosecretory granules, demos other red'ing substances (formalin pigment)  
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Fontana-Masson & microwave Fontana-Masson stains facts   Fixative: 10% NBF, avoid alcohol QC: skin for melanin, small intestine or appendix for argentaffin granules, Melanoma, tumor w/ argentaffin granules, chemically clean glassware, nonmetallic instruments  
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Fontana-Masson stain solutions   Fontana silver nitrate w/ NH4OH gold chloride sodium thiosulfate nuclear-fast red  
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Fontana-Masson stain results   melanin, argentaffin granules - black nuclei - pink overstaining gives gray background & loss of contrast  
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Microwave Fontana-Masson stain solutions   Fontana silver nitrate w/ NH4OH gold chloride sodium thiosulfate nuclear-fast red  
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Microwave Fontana-Masson stain results   argentaffin cell granules, chromaffin granules, melanin, other argentaffin substances - black nuclei - pink  
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Grimelius stain purpose   Demo argyrophil granules in neurosecretory tumors, also stains argentaffin substances  
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Grimelius stain facts   QC: argyrophil-positive carcinoid tumor preferred, can use small intestine, chemically clean glassware, nonmetallic forceps  
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Grimelius stain solutions   working silver solution reducing solution nuclear-fast red  
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Grimelius stain results   argentaffin & argyrophil granules - dark brown to black nuclei - red background - pale yellow-brown  
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Grimelius working silver solution   acetic acid-acetate buffer pH 5.6 silver nitrate 1% dH2O  
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Grimelius, Churukian-Schenk, microwave Churukian-Schenk reducing solution   hydroquinone sodium sulfite dH2O  
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How to differentiate between argentaffin & argyophil substances?   Stain w/ both Grimelius (argyophil) & Fontana-Masson (argentaffin) & compare  
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Churukian-Schenk & microwave Churukian-Schenk methods purpose   Demo argyrophil granules in neurosecretory tumors  
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Churukian-Schenk & microwave Churukian-Schenk methods facts   QC: argyrophil-positive carcinoid tumor preferred, can use small intestine, chemically clean glassware, nonmetallic forceps  
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Churukian-Schenk method solutions   acidified water pH 4.0 to 4.2 silver nitrate 0.5% reducing solution nuclear-fast red  
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Churukian-Schenk method results   argyophil granules, argentaffin substances - black nuclei - red background - yellow-brown  
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Microwave Churukian-Schenk method solutions   citric acid-glycine soln. silver nitrate 0.5% reducing solution nuclear-fast red  
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Microwave Churukian-Schenk method results   argyrophil & argentaffin cells - black nuclei - orange to red background - light yellow-orange  
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Gomori methenamine-silver method purpose   Demo urates, may demo large calcium deposits  
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Gomori methenamine-silver method facts   Fixative: abs. alcohol QC: section w/ urates  
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Gomori methenamine-silver method solutions   working methenamine-silver nitrate sodium thiosulfate light green w/ acetic acid  
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Gomori methenamine-silver method results   urates - black background - green  
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Bile stain purpose   Detect bilirubin in tissue, aka Hall stain, aka Fouchet rxn  
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Bile stain solutions   Fouchet reagent van Gieson  
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Bile stain results   bile, bilirubin - emerald green to olive drab background - yellow  
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Fouchet reagent solution   trichloracetic acid ferric chloride dH2O  
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van Gieson solution   acid fuchsin picric acid  
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von Kossa stain purpose   ID calcium in tissue, detects anions bound to calcium, not the calcium itself  
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von Kossa stain facts   Fixative: alcohol preferred, 10% NBF ok  
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von Kossa stain solutions   silver nitrate sunlight sodium thiosulfate nuclear-fast red  
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von Kossa stain results   calcium salts - black background - red  
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Alizarin Red S stain purpose   ID calcium in tissue, reaction product is birefringent  
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Alizarin Red S stain facts   Fixative: alcoholic formalin or 10% NBF  
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Alizarin Red S staining solution   Alizarin red S (chelate w/ calcium) dH2O NH4OH to pH 4.1 to 4.3 - critical  
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Alizarin Red S stain results   calcium deposits - orange-red  
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Rhodanine & microwave Rhodanine methods purpose   Detect copper in tissue, esp. liver - Wilson disease, aka Lindquist rhodanine  
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Rhodanine & microwave Rhondanine methods facts   Fixative: 10% NBF Sections: paraffin 6-8 µm QC: section w/ copper (fetal liver)  
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Rhodanine method solutions   working rhodanine soln. Mayer hematoxylin w/ dH2O borax (blue Mayer)  
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Rhodanine method results   copper - bright red to red yellow nuclei - light blue If copper conc. low, stain may fade after coverslipping  
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Microwave Rhodanine method solutions   working Rhodanine w/ sodium acetate-formalin Mayer hematoxylin w/ dH2O borax  
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Microwave Rhodanine method results   copper - bright red or rust-red intracytoplasmic granules nuclei - blue  
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Working Rhodanine solution   5-(p-dimethylamino-benyzlidine) rhodanine abs. ethanol dH2O filter  
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Pigment   A substance that has enough color to be visible w/o any further staining  
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What are some diseases associated w/ melanin?   Melanomas, Addison's disease  
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Prussian blue vs. Turnball blue   Prussian - ferrocyanide for ferric ions Turnball - ferricyanide for ferrous ions  
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Fontana Masson w/ melanin bleach   To compare, deparaffinize & hydrate 2 slides, leave 1 in dH2O, 1 in potassium permanganate, wash w/ tap & dH2O, in oxalic acid, wash w/ tap & dH2O, stain both w/ Fontana Masson protocol  
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Argentaffin stains   Gomori methenamine-silver, Grocott methenamine-silver, Fontana Masson, von Kossa  
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Argyrophil stains   Reticulin, Holmes, Bielschowsky, Warthin-Starry, Dieterle, Steiner & Steiner, Grimelius, Churukian-Schenk  
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Formalin pigment   Is a reducing substance, may give positive rxn to Schmorl & Fontana-Masson  
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Chloroacetate Esterase (Leder) stain purpose   Detection of neutrophils  
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Stained starch granules show:   A characteristic Maltese cross configuration when polarized, may be introduced from talcum powder of gloves  
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Ferrous ions   Fe2+, toxic, not normally stored, Turnbull blue  
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Ferric ions   Fe3+, normally present in tissue, usu. bound to protein (hemosiderin), in marrow, spleen, decaying, hemorrhagic material, excess - hemachromatosis, Prussian blue  
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