A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
{174} The stain is more conveniently applied upon cover-glasses than
upon slides. Films much more than a month old do not stain well. In
some localities ordinary tap-water will answer both for diluting the
stain and for washing the film; in others, distilled water must be
used. Different lots of Wright's fluid vary, and a few preliminary
stains should be made with each lot to learn its peculiarities. The
principal variation is in the amount of water which must be added to
obtain the iridescent scum. Sometimes eight or more drops must be
added after the scum appears.
When properly applied, Wright's stain gives the following picture
(Plate VI): erythrocytes, yellow or pink; nuclei, various shades of
bluish-purple; neutrophilic granules, reddish-lilac; eosinophilic
granules, bright red; basophilic granules of leukocytes and
degenerated red corpuscles, very dark bluish-purple; blood-plaques,
dark lilac; bacteria, blue. The cytoplasm of lymphocytes is generally
robin's-egg blue; that of the large mononuclears may have a faint
bluish tinge. Malarial parasites stain characteristically: the
cytoplasm, sky-blue; the chromatin, reddish-purple.
_Jenner's stain_, which gives a somewhat similar picture, is preferred
by many for differential counting of leukocytes. It brings out
neutrophilic granules rather more clearly, but does not compare with
Wright's fluid as a stain for the malarial parasite. Unfixed films are
stained about three minutes, rinsed quickly, dried, and mounted.
For the physician who wishes to use only one blood-stain, Wright's
fluid is undoubtedly the best of those mentioned.
[Illustration: PLATE VI. EXPLANATION OF PLATE VI.
Stained with Wright's stain. All drawn to same scale.
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