Page 326 - The Veterinary Laboratory and Field Manual 3rd Edition
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Haematology  295


                (ribs, pelvis and skull) and the short bones of the   standard values and value ranges for each veteri-
                vertebrae contain red marrow throughout life.  nary laboratory. It is standard practice to list the
                  Bone marrow samples collected from freshly   normal range of values alongside the test values
                dead animals can provide useful and relatively   to allow the submitting veterinary or livestock
                easily collected diagnostic material but only   extension officer to assess the results against
                appropriately qualified and experienced veteri-  the normal range for the laboratory. The normal
                nary clinicians should collect bone marrow from
                a live animal.
                  The most popular puncture site chosen in
                live animals is the iliac crest or the head of the
                femur (dog, cat) but the ribs and sternum may
                also be used (cow, horse). Once the animal is
                appropriately restrained (or under anaesthesia),
                local anaesthetic (for example, lignocaine) is
                injected around the region and a skin incision
                made over the selected bone. A sterile wide bore
                needle is required to aspirate the marrow mate-
                rial using a 10 or 20 ml syringe. It is important   Figure 5.6  Blood smear from a cow which later died
                to collect as much cellular material as possible   following fever, haematuria and weight loss over a
                and to minimize the amount of fluid in the sam-  period of several days. The animal had concurrent
                ple. However, if too much fluid is aspirated the   Babesia bovis and Theileria sp. infection following
                aspirate can be centrifuged and the sediment   a spring peak in tick populations, Pemagatshel,
                examined on a microscope slide. The prepared   Eastern Bhutan. Giemsa 20x magnification. The
                bone marrow smear can be fixed in methanol   darker pigmented areas in the red blood cells indi-
                and stained with Giemsa stain as for a routine   cate stages of the life cycles of the two protozoal
                blood smear. A differential count is usually made   species. See also Chapter 3 and Plate 22a.
                after counting 500 nucleated cells. The myeloid/
                erythroid (white cell/red cell) ratio can also be
                determined from the smear and can be used to
                assess the bone marrow response to a blood loss
                anaemia. Interpretation of the results requires
                experience and depends on the species, this will
                not be considered further here.



                5.6   determination of normal values

                Every diagnostic laboratory needs to establish
                the normal range of haematological profiles   Figure 5.7  Poor quality bovine blood smear stained
                for the species likely to be tested in a given   with Giemsa 100× oil immersion. Note the pres-
                region. Typical haematological ranges for com-  ence of a large mononuclear cell. The red cells
                mon domestic species are available in text   are irregular in shape and there is a lot of artefact.
                books but because each laboratory uses differ-  The presence of granules suggests that new stain
                ent techniques it is necessary to develop specific   should be prepared. See also Plate 22b.







       Vet Lab.indb   295                                                                  26/03/2019   10:25
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