A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
1. Spreading the Film.--Thin, even films are essential to accurate and
pleasant work. They more than compensate for the time spent in
learning to make them. There are certain requisites for success with
any method: (_a_) The slides and covers must be perfectly clean;
thorough washing with soap and water and rubbing with alcohol will
usually suffice; (_b_) the drop of blood must not be too large; (_c_)
the work must be done quickly, before coagulation begins.
The blood is obtained from the finger-tip or the lobe of the ear, as
for a blood count; only a very small drop is required.
* * * * *
Ehrlich's Two-cover-glass Method.--This method is very widely used,
but considerable practice is required to get good results. Touch a
cover-glass to the top of a small drop of blood, and place it, blood
side down, upon another cover-glass. If the drop be not too large, and
the covers be perfectly clean, the blood will spread out in a very
thin layer. Just as it stops spreading, before it begins to coagulate,
pull the covers quickly but firmly apart on a line parallel to their
plane (Fig. 74). It is best to handle the covers with forceps, since
the moisture of the fingers may produce artifacts.
Two-slide Method.--Place a small drop of blood upon a {169} clean
slide and push it along with the edge of a second slide held at an
angle of 45 degrees to the surface of the first (Fig. 75).
[Illustration: FIG. 74.--Spreading the film: two-cover-glass method.]
[Illustration: FIG. 75.--Spreading the film: two-slide method.]
Cigarette-paper Method.--This gives better results in the hands of the
inexperienced than any of the methods in general use, and may be used
with either slides or covers. A very thin paper, such as the "Zig-zag"
brand, is best. Ordinary cigarette paper and thin tissue-paper will
answer, but do not give nearly so good results.
Cut the paper into strips about ¾ inch wide, _across the ribs_. Pick
up one of the strips by the gummed edge, and touch its opposite end to
the drop of blood. Quickly place the end which has the blood against a
slide or a large cover-glass held {170} in a forceps. The blood will
spread along the edge of the paper. Now draw the paper evenly across
the slide or cover. A thin film of blood will be left behind (Fig.
76).
[Illustration: FIG. 76.--Spreading the film. Cigarette-paper method
applied to cover-glasses.]
* * * * *
The films may be allowed to dry in the air, or may be dried by gently
heating high above a flame (where one can comfortably hold the hand).
Such films will keep for years, but for some stains they must not be
more than a few weeks old. They must be kept away from flies--a fly
can work havoc with a film in a few minutes.
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account