Pathology the big picture pdf

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organized (i.e., “Big Picture”) approach to the presentation of information needed for second-year medical school pathology courses and for study for the USMLE. The Monk Who Sold His Ferrari A Fable About Fulfilling Your Dreams and Reaching Your Destin y Robin S. Sharma HarperSanF. Pathology: The Big Picture. Walter L. Pathology of the Liver, Gallbladder, and Pancreas Pathology of the Male and Female Reproductive Tract and Breast.

Genomic libraries are often named after the institution in which they were developed. If you want a streamlined and definitive look at Pathology - one with just the right balance of information to give you the edge at exam time - turn to Pathology: Many bacteria, however, even well-known species, do not grow well under laboratory conditions. Add to Cart. A Promo Code is an alpha-numeric code that is attached to select promotions or advertisements that you may receive because you are a McGraw-Hill Professional customer or e-mail alert subscriber. Format Print Printed books Traditional printed books available in…. Pronunciation Skills:

Cells, circulating tumor cells CTCs , or formalin-fixed paraffin-embedded FFPE or frozen tissue sections are fixed, then permeabilized to allow target accessibility.

Pathology : the Big Picture - PDF Drive

FISH has also been successfully done on unfixed cells. Separate but compatible signal amplification systems enable the multiplex assay up to two targets per assay. Signal amplification is achieved via series of sequential hybridization steps.

At the end of the assay the tissue samples are visualized under a fluorescence microscope. First, a probe is constructed. The probe must be large enough to hybridize specifically with its target but not so large as to impede the hybridization process.

The probe is tagged directly with fluorophores , with targets for antibodies or with biotin. Tagging can be done in various ways, such as nick translation , or Polymerase chain reaction using tagged nucleotides. Then, an interphase or metaphase chromosome preparation is produced. The chromosomes are firmly attached to a substrate , usually glass.

The probe is then applied to the chromosome DNA and incubated for approximately 12 hours while hybridizing. Several wash steps remove all unhybridized or partially hybridized probes. The results are then visualized and quantified using a microscope that is capable of exciting the dye and recording images.

If the fluorescent signal is weak, amplification of the signal may be necessary in order to exceed the detection threshold of the microscope.

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Fluorescent signal strength depends on many factors such as probe labeling efficiency, the type of probe, and the type of dye. Fluorescently tagged antibodies or streptavidin are bound to the dye molecule. These secondary components are selected so that they have a strong signal. FISH is a very general technique. The differences between the various FISH techniques are usually due to variations in the sequence and labeling of the probes; and how they are used in combination.

Probes are divided into two generic categories: In fluorescent "in situ" hybridization refers to the cellular placement of the probe.

Probe size is important because longer probes hybridize less specifically than shorter probes, so that short strands of DNA or RNA often 10—25 nucleotides which are complementary to a given target sequence are often used to locate a target. The overlap defines the resolution of detectable features.

For example, if the goal of an experiment is to detect the breakpoint of a translocation , then the overlap of the probes — the degree to which one DNA sequence is contained in the adjacent probes — defines the minimum window in which the breakpoint may be detected. The mixture of probe sequences determines the type of feature the probe can detect. Probes that hybridize along an entire chromosome are used to count the number of a certain chromosome, show translocations, or identify extra-chromosomal fragments of chromatin.

This is often called "whole-chromosome painting. However, it is possible to create a mixture of smaller probes that are specific to a particular region locus of DNA; these mixtures are used to detect deletion mutations.

When combined with a specific color, a locus-specific probe mixture is used to detect very specific translocations. Special locus-specific probe mixtures are often used to count chromosomes, by binding to the centromeric regions of chromosomes, which are distinctive enough to identify each chromosome with the exception of Chromosome 13 , 14 , 21 , A variety of other techniques uses mixtures of differently colored probes.

A range of colors in mixtures of fluorescent dyes can be detected, so each human chromosome can be identified by a characteristic color using whole-chromosome probe mixtures and a variety of ratios of colors.

Although there are more chromosomes than easily distinguishable fluorescent dye colors, ratios of probe mixtures can be used to create secondary colors. Similar to comparative genomic hybridization , the probe mixture for the secondary colors is created by mixing the correct ratio of two sets of differently colored probes for the same chromosome.

The same physics that make a variety of colors possible for M-FISH can be used for the detection of translocations. That is, colors that are adjacent appear to overlap; a secondary color is observed. Some assays are designed so that the secondary color will be present or absent in cases of interest.

In the opposite situation—where the absence of the secondary color is pathological—is illustrated by an assay used to investigate translocations where only one of the breakpoints is known or constant. Locus-specific probes are made for one side of the breakpoint and the other intact chromosome. In normal cells, the secondary color is observed, but only the primary colors are observed when the translocation occurs.

This technique is sometimes called "break-apart FISH". Targets can be reliably imaged through the application of multiple short singly labeled oligonucleotide probes. Probes not binding to the intended sequence do not achieve sufficient localized fluorescence to be distinguished from background.

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Single-molecule RNA FISH assays can be performed in simplex or multiplex , and can be used as a follow-up experiment to quantitative PCR , or imaged simultaneously with a fluorescent antibody assay. The technology has potential applications in cancer diagnosis , [14] neuroscience , gene expression analysis, [15] and companion diagnostics.

In an alternative technique to interphase or metaphase preparations, fiber FISH, interphase chromosomes are attached to a slide in such a way that they are stretched out in a straight line, rather than being tightly coiled, as in conventional FISH, or adopting a chromosome territory conformation, as in interphase FISH.

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This is accomplished by applying mechanical shear along the length of the slide, either to cells that have been fixed to the slide and then lysed , or to a solution of purified DNA. A technique known as chromosome combing is increasingly used for this purpose.

The extended conformation of the chromosomes allows dramatically higher resolution — even down to a few kilobases.

Pdf pathology the big picture

The preparation of fiber FISH samples, although conceptually simple, is a rather skilled art, and only specialized laboratories use the technique routinely.

This technique is used routinely in telomere length research. Three primary fluorophores are able to generate a total of 7 readily detectable emission spectra as a result of combinatorial labeling using DOT. The technology offers faster scoring with efficient probesets that can be readily detected with traditional fluorescent microscopes.

Often parents of children with a developmental disability want to know more about their child's conditions before choosing to have another child. These concerns can be addressed by analysis of the parents' and child's DNA. In cases where the child's developmental disability is not understood, the cause of it can potentially be determined using FISH and cytogenetic techniques.

Examples of diseases that are diagnosed using FISH include Prader-Willi syndrome , Angelman syndrome , 22q13 deletion syndrome , chronic myelogenous leukemia , acute lymphoblastic leukemia , Cri-du-chat , Velocardiofacial syndrome , and Down syndrome. In medicine, FISH can be used to form a diagnosis , to evaluate prognosis , or to evaluate remission of a disease, such as cancer.

Treatment can then be specifically tailored. A traditional exam involving metaphase chromosome analysis is often unable to identify features that distinguish one disease from another, due to subtle chromosomal features; FISH can elucidate these differences.

FISH can also be used to detect diseased cells more easily than standard Cytogenetic methods, which require dividing cells and requires labor and time-intensive manual preparation and analysis of the slides by a technologist. FISH, on the other hand, does not require living cells and can be quantified automatically, a computer counts the fluorescent dots present.

Pathology: The Big Picture

However, a trained technologist is required to distinguish subtle differences in banding patterns on bent and twisted metaphase chromosomes. FISH can be incorporated into Lab-on-a-chip microfluidic device. If you want a streamlined and definitive look at Pathology - one with just the right balance of information to give you the edge at exam time - turn to Pathology: The Big Picture.

You'll find a succinct, user-friendly presentation especially designed to make even the most complex concept understandable in the shortest amount of study time possible. Script Skills: Conversation, Idioms, Slang Skills: Pronunciation Skills: Reading Skills: Responding To A Promotion? View Promotion. More Views. Choose an Option Add to Cart. Format Print Printed books Traditional printed books available in….

Description Details Publisher's Note: Get the BIG PICTURE of Pathology - and focus on what you really need to know to score high on the course and board exam If you want a streamlined and definitive look at Pathology - one with just the right balance of information to give you the edge at exam time - turn to Pathology: