A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
(1) Eosin and Methylene-blue.--In many instances this stain will give
all the information desired. It is especially useful in studying the
red corpuscles. Nuclei, basophilic granules, and all blood parasites
are blue; erythrocytes are red or pink; eosinophilic granules, bright
red. Neutrophilic granules and blood-plaques are not stained.
* * * * *
(1) Fix the film by heat or chemicals.
(2) Stain about five minutes with 0.5 per cent. alcoholic solution of
eosin, diluted one-half with water.
(3) Rinse in water, and dry between filter-papers.
(4) Stain one-half to one minute with saturated aqueous solution of
methylene-blue.
(5) Rinse well, dry, and mount. Films upon slides may be examined with
an oil-immersion objective without a cover-glass.
* * * * *
(2) Ehrlich's Triple Stain.--This has been the standard blood-stain
for many years, and is still widely used. It is probably the best for
neutrophilic granules. It is difficult to make, and should be
purchased ready prepared from a reliable dealer. Nuclei are stained
blue or greenish-blue; erythrocytes, orange; neutrophilic granules,
violet; and eosinophilic granules, copper red. {173} Basophilic
granules and blood-plaques are not stained (see Fig. 85).
Success in staining depends largely upon proper fixation. The film
must be carefully fixed by heat: underheating causes the erythrocytes
to stain red; overheating, pale yellow. The staining fluid is applied
for five to fifteen minutes, and the preparation is rinsed quickly in
water, dried, and mounted. Subsequent application of Löffler's
methylene-blue for one-half to one second will bring out the
basophilic granules, and improve the nuclear staining, but there is
considerable danger of overstaining.
(3) Wright's Stain.--Recently the polychrome methylene-blue-eosin
stains, dissolved in methyl-alcohol, have largely displaced other
blood-stains for clinical purposes. They combine the fixing with the
staining process, and stain differentially every normal and abnormal
structure in the blood. Numerous methods of preparing and applying
these stains have been devised. Wright's stain is one of the best, and
is the most widely used in this country. Directions for preparing it
are given in most of the newer large text-books upon clinical
diagnosis. The practitioner will find it best to purchase the stain
ready prepared. Most microscopic supply houses keep it in stock. The
method of application is as follows:
* * * * *
(1) Without previous fixation, cover the blood film with the stain,
and let stand one minute.
(2) Add water, drop by drop, until a delicate metallic scum forms upon
the surface. Let this mixture remain on the preparation for two or
three minutes.
(3) Wash in water until the better spread portions of the film have a
pinkish tint.
(4) Dry between filter-papers and mount.
* * * * *
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