Clinical Pathology - Clinical Immunology

Clinical Pathology Clinical Pathology   Located in Room 2020 Full service laboratory  Hematology, clinical chemistry, urinalysis, cytology, coagulation, blood bank Daytime M-F: 8:00 am – 9:00 pm Weekends Sat and Sun: 8:00 am – 11:00 pm After hours: On call night technicians  Provide 24 / 7 service    Administrative Emily Kearney Darla Montalvo Technical Daytime Catherine Samway Elaine Nicholds Myriah Vineyard Barbara Dott Al Brant Technical After Hours Wendy Browning Not pictured Marty Moore Heidi Ertresvaag Melanie Aschenberg Jeri Grotberg Chase Ratliff Courtney Duncan Amber Ducote Pathology Residents Dr. Mary Nabity Dr. Angela Wilcox Dr. Seth Chapman Pathologists Dr. Mark Johnson Dr. Shashi Ramaiah Dr. Karen Russell What We Do     Clinical Service Research Support Residency Training Teaching 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) 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 What We Do  Residency Training, con’t  Since ~1995    7 (past) residents + 3 (current) residents 6 / 7 are ACVP Diplomates 2 / 7 have received a PhD Academia (TAMU, Purdue, Auburn, MD Anderson) Industry (Eli Lilly) Referral Labs (IDEXX)  Where are they now?    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  What We Do   “Laboratory Visitors” Rotations in the laboratory (~ 1 - 4 wks)  Interns, residents, faculty   28 22 4 2  Texas A&M Other US universities International universities  Technicians 1 For More Info and How to Contact Us  Main Lab Number (979) 845 - 9180  http://www.cvm.tamu.edu/clinpath/ Clinical Immunology Infectious Agents Immune-Mediated Phenomena Clinical Immunology Monthly Tests Heartworm EIA (Coggins) FeLV/FIV 2005 63 46 14 2006 53 37 13 Clinical Immunology Other Tests: Infectious Agents Virus: EIAV (ELISA) FeLV (ELISA) Fungal Blastomyces dermatitdis (AGID) Coccidioides immitis (AGID) Cryptococcus neoformans Antigen Histoplasma capsulatum (AGID) Fungal AGID (4 Fungi) Feline Heartworms Antibody (ELISA) Antibody + Antigen (ELISA) Clinical Immunology Other Tests: Immune-Mediated Process Coombs Antinuclear Antibody LE Prep Clinical Immunology Future? Flow Cytometry Immunophenotyping (Leukemia) Reticulated Platelet Count Reticulocyte Count Immune-Mediated Phenomena: Platelet-Associated Immunoglobulin Erythrocyte-Associated Immunoglobulin Clinical Immunology Immunophenotyping? Canine Undifferentiated Myeloid Leukemia Mature Neutrophils Clinical Immunology Reticulated Platelets / Reticulocytes ? Clinical Immunology Reticulated Platelets / Reticulocytes ? Immune-Mediated Thrombocytopenia responded to therapy no bone marrow analysis available Clinical Immunology Reticulated Platelets / Reticulocytes ? Myasthenia Gravis azathioprine therapy 2° pneumonia  euthanasia bone marrow: hypoplasia Clinical Immunology Surface Immunoglobulin? Clinical Immunology Future? Molecular Diagnostics Clonality by PCR (Lymphoma/Reactive) Clinical Immunology Infectious Agents Immune-Mediated Phenomena More? Clinical Microbiology 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 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 Kay Duncan Rosie Gonzalez Todd Stewart Lizzie Fernandez Clinical Microbiology • What we do – Clinical service – Teaching – Research support – Residency training 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 Teaching • Senior veterinary student rotations • Undergraduate Other • Research support – Antimicrobial resistance – Johnes – Epidemiology of infectious disease • Residency program – Goal • Graduate degree • ACVM boards 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 Clinical Parasitology 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 Clinical Parasitology who we are Craig, Cyr, Holeman, Snowden Whagela, Wagner ElGayar, Smith Clinical Parasitology What We Do • Located in Room 320 VMA • Laboratory diagnosis of parasitic – Helminths – Protozoa – Arthropods • Provide service – Daytime M-F: 8:30 am – 5:00 pm – After hours:by arrangement 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 Clinical Parasitology Who We Work For • Clinical Service: teaching hospital TVMDL veterinarians • Research Support: CVM TAES other • Teaching students producers 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 Immunopathology/ Histopathology Service Personnel  Dr. Andy Ambrus Supervisor: Immunopathology lab  Rosemary Vollmar Supervisor: Histopathology lab Personnel  Susan Hernandez Histotechnician/ Immunotechnician  Chaitali Mukherjee Histotechnician  Allison Tewell Student worker Personnel     Shannon Davis Dawn Currin Cheryl Chamblee Sharon Dickerson Mission  To supply histopathology and immunopathology support to the VTH, pathology services, and research components at TAMU 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 Laboratory Accessions 05  Total Procedures  22,573 13,461 2,575  Total Proc/Emb/H&E   Total Special Stains   Total Immunopathology Procedures  1,572 Histology Immunohistochemistry Immunocytochemistry Immunocytochemistry Anatomic pathology Dermatopathology Necropsy Surgical pathology Orthopedic pathology Surgical pathology People      Dr. Roy Pool. Dr. Joanne Mansell. Dr. Jairo Nunes. Dawn Currin Shannon Davis. 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. Service  Real time web site for surgical results http://vtpb-www.cvm.tamu.edu/surgpath/daily.lasso  Approximately 800-900 cases/yr  We encourage clinician-pathologist interaction. Review slides with clinicians, clinical residents, and students Love to be invited to clinic to see clinical cases   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. Research   Collaborative publications with clinicians in the VMTH, and pathologists at other institutions. Presentations at national and international meetings. 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 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