Clinical Pathology

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Clinical Pathology
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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

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

• Clinical Service
• Research Support
• Residency Training
• Teaching

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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)

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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

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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)

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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

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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

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For More Info andHow to Contact Us

• Main Lab Number (979) 845 - 9180
• http//www.cvm.tamu.edu/clinpath/

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Clinical Immunology
Infectious Agents Immune-Mediated Phenomena
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Clinical Immunology

• Monthly Tests 2005 2006
• Heartworm 63 53
• EIA (Coggins) 46 37
• FeLV/FIV 14 13

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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)

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Clinical Immunology Other Tests Immune-Mediated
Process

• Coombs
• Antinuclear Antibody
• LE Prep

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Clinical Immunology Future?

• Flow Cytometry
• Immunophenotyping (Leukemia)
• Reticulated Platelet CountReticulocyte Count
• Immune-Mediated Phenomena Platelet-Associated
  Immunoglobulin Erythrocyte-Associated
  Immunoglobulin

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Clinical Immunology Immunophenotyping?
Canine Undifferentiated Myeloid Leukemia
Mature Neutrophils
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Clinical Immunology Reticulated Platelets /
Reticulocytes ?
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Clinical Immunology Reticulated Platelets /
Reticulocytes ?
Immune-Mediated Thrombocytopenia
responded to therapy no bone marrow analysis
available
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Clinical Immunology Reticulated Platelets /
Reticulocytes ?
Myasthenia Gravis
azathioprine therapy 2 pneumonia ?
euthanasia bone marrow hypoplasia
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Clinical Immunology Surface Immunoglobulin?
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Clinical Immunology Future?

• Molecular Diagnostics
• Clonality by PCR
• (Lymphoma/Reactive)

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Clinical Immunology

• Infectious Agents
• Immune-Mediated Phenomena
• More?

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Clinical Microbiology
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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

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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

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Kay Duncan
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Rosie Gonzalez
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Todd Stewart
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Lizzie Fernandez
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Clinical Microbiology

• What we do
• Clinical service
• Teaching
• Research support
• Residency training

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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

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Teaching

• Senior veterinary student rotations
• Undergraduate

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Other

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

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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

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Clinical Parasitology
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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

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Clinical Parasitologywho we are

• Craig, Cyr, Holeman, Snowden
• Whagela, Wagner
• ElGayar, Smith

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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

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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

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Clinical ParasitologyWho We Work For

• Clinical Service
  teaching hospital TVMDL veterinarians
• Research Support
  CVM TAES other
• Teaching
• students
• producers

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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

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Immunopathology/ Histopathology Service
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Personnel

• Dr. Andy Ambrus
• Supervisor
• Immunopathology
• lab
• Rosemary Vollmar
• Supervisor
• Histopathology lab

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Personnel

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

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Personnel

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

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Mission

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

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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

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Laboratory Accessions 05

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

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Histology
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Immunohistochemistry
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Immunocytochemistry
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Immunocytochemistry
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Surgical pathology
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People

• Dr. Roy Pool.
• Dr. Joanne Mansell.
• Dr. Jairo Nunes.
• Dawn Currin
• Shannon Davis.

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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.

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Service

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

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

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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.

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Research

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

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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

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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