A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
(6) Apply Gabbet's stain to the under side of the cover-glass to
remove excess of carbol-fuchsin, and then to the film side. Allow this
to act for one-fourth to one-half minute.
(7) Wash in water.
(8) If, now, the thinner portions of the film are blue, proceed to the
next step; if they are still red, repeat steps (6) and (7) until the
red has disappeared. Too long application of Gabbet's stain will
decolorize the tubercle bacilli.
(9) Place the preparation between layers of filter-paper and dry by
rubbing with the fingers, as one would in blotting ink.
(10) Put a drop of Canada balsam upon a clean slide, place the
cover-glass film side down upon it, and examine with a one-twelfth
objective. Cedar oil or water may be used in place of balsam for
temporary preparations. Smears on slides may be examined directly with
an oil-immersion lens, no cover being necessary.
_Carbol-fuchsin_ is prepared by mixing 10 c.c. of a saturated
alcoholic solution of fuchsin with 90 c.c. of 5 per cent. aqueous
solution of phenol.
{34} _Gabbet's stain_ consists of methylene-blue, 2 gm.; 25 per cent.
sulphuric acid, 100 c.c.
Both stains can be purchased ready prepared.
* * * * *
In films stained by Gabbet's method tubercle bacilli, if present, will
be seen as slender red rods upon a blue background of mucus and cells
(Plate II, Fig. 2). They average 3 to 4 µ in length--about one-half
the diameter of a red blood-corpuscle. Beginners must be warned
against mistaking the edges of cells, or particles which have retained
the red stain, for bacilli. The appearance of the bacilli is almost
always typical, and if there seems room for doubt, the structure in
question is probably not a tubercle bacillus. They may lie singly or
in groups. They are very frequently bent and often have a beaded
appearance. It is possible that the larger, beaded bacilli indicate a
less active tuberculous process than do the smaller, uniformly stained
ones. Sometimes they are present in great numbers--thousands in a
field of the one-twelfth objective. Sometimes several cover-glasses
must be examined to find a single bacillus. At times they are so few
that none are found in stained smears, and special methods are
required to detect them. The number may bear some relation to the
severity of the disease, but this relation is by no means constant.
The mucoid sputum from an incipient case sometimes contains great
numbers, while sputum from large tuberculous cavities at times
contains very few. Failure to find them is not conclusive, though
their absence is much more significant when the sputum is purulent
than when it is mucoid.
[Illustration: PLATE II. Fig. 1.--Heart-failure cells in sputum,
containing blood-pigment, from a case of cardiac congestion of the
lungs (Jakob).
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account