Acute phase proteins

Acute phase proteins This term covers a range of proteins synthesised by the liver which increase in concentration in blood in response to the presence of the acute inflammation. The exact glycoproteins which are most sensitive for inflammation varies between species. For dogs C reactive protein (CRP) is commonly used, in cats alpha-1-acid glycoprotein (AGP) and in horses serum amyloid A (SAA). The advantages of these tests include high sensitivity for the detection of active inflammation, quantitation of the response making serial measurements useful to monitor progression and they may be helpful to predict recurrence of disease or help to rule in or rule out particular causes of inflammation. AGP is useful in this context as very high concentrations support the presence of FIP in cats while absence of increase would make FIP very unlikely. All these assays require serum for analysis.  More information http://ctdslab.co.uk/services/acute-phase-proteins/

Allergy

Serological testing for allergy in dogs, cats and horses has made huge progress in the last ten years following the production of monoclonal antibodies against IgE in dogs and later cats. The diagnostic sensitivity of the best serum tests for atopy is now considered to be at least comparable with intradermal skin tests and these avoid the need for sedation, extensive shaving and prolonged drug withdrawal before testing. We offer an environmental screening test which provides an initial yes/no answer to whether serum IgE is increased against common environmental allergens coupled with flea and malassezia. This test can be run alone or with a similar food screen which evaluates serum IgE and IgG levels against common potential food allergens. Dependant upon the screen results any component (perennial allergens, seasonal allergens and/or foods) which give positive results can be opened to full panels providing information with regard to which individual allergens may be relevant.

Because of the test methodology employed you can be certain that negative screens do not overlook positive or borderline allergen results and so effort and cost can be focussed on relevant tests in the full panel. Positive allergen results do not equal allergy and must be viewed in the context of the history, clinical findings and rule out of other causes of pruritus. For this reason we recommend these tests are undertaken after comprehensive flea control, skin scrapings and potentially serology for Sarcoptes scabiei and other ectoparasites and trial therapy for Malassezia. Where pyoderma is identified this can be primary or secondary to hypersensitivity or other dermatopathies. Persistence of pruritus following resolution of pyoderma or relapsing pyoderma can both be clues to underlying allergic skin disease. Where a previous extensive skin work-up has been undertaken and allergic skin disease is strongly suspected it can be appropriate to request full environmental and/or food panels directly without prior screening.

Serological testing for food hypersensitivity is used extensively in man and is recognised to be a valuable aid in identifying potential food allergens. In veterinary medicine a number of the clinical studies with early assay systems failed to demonstrate significant correlation with the results of dietary trials. However, this has not been our experience using a dual IgE and IgG testing system over recent years and interestingly the most recent clinical abstracts are starting to support the diagnostic utility of serological testing in identifying foods to be excluded in a dietary trial.

For horses serology can be useful in the identification of atopy, dietary hypersensitivity and in insect hypersensitivity. We offer panels for all of these either alone or in combination, dependant upon the clinical findings.

Download our allergy brochure here.

Biochemistry

This is content

Cytology

Veterinary cytology provides a quick, inexpensive and relatively non-evasive way to evaluate the cells in body fluids, skin masses and increasingly (in conjunction with ultrasonography) internal organs. Inflammation, infection and neoplasia can often all be identified without the need for biopsy and anaesthesia. In our experience we find that often cytology is a much underutilised diagnostic tool and as one leading American oncologist said recently “Aspirate first, ask questions later”. All CTDS cytology submissions are analysed on site and we provide same day reporting on all fine needle aspirate and fluid submissions. Since it is crucial to correctly categorise body fluid submissions to confirm fluid origins, as well as a cytological report, we routinely include an absolute red and nucleated cell count, a quantitative protein, albumin & globulin measurements to assist in determining the origin of the fluid. Additionally for CSF (Cerebrospinal Fluid) submissions a Creatine Kinase (CK) and micro protein measurement is also included. More information http://ctdslab.co.uk/services/cytology/ 

Dermatology

This is content

Endocrinology

This is content

Equine Reproduction

Contagious Equine Metritis, Klebsiella pneumoniae and Pseudomonas aeruginosa. CTDS is an approved laboratory for CEM, Klebsiella pneumoniae and Pseudomonas aeruginosa testing. Examination includes CEMO, Klebsiella, Pseudomonas, sensitivity testing as necessary and issue of certificate. see http://ctdslab.co.uk/services/cemo-and-eva-testing/

Flow Cytometery

Flow cytometry is the measurement of characteristics of single cells suspended in a flowing saline stream. Many scientific procedures involve obtaining measurements as an average values for the whole population, however key to flow cytometry is the ability to take measurements separately on each particle within the suspension in turn. Several parameters in turn can be measured on tens of thousands of individual cells within a few minutes and this is the power of flow cytometry. The properties measured include a particle’s relative size, granularity, and fluorescence intensity and it may now be used to detect the presence of specific surface and intracellular markers. http://ctdslab.co.uk/services/fluid-flow-cytometry/ Download our Fluid flow cytometry brochure here  

Haematology

Haematology is the study of blood disease and diseases of the blood forming organs. Many people say that haematology is more of an art than a science and this is particularly appropriate when one considers the morphological assessment of red cells, white cells Haematology and platelets which is a critical part of a haematological assessment. Although cell numbers are obviously important, a complete cell count (CBC) or full blood count (FBC) on its own is simply not enough . At CTDS every haematology submission has an automated cell count performed and also has a white cell differential and cell morphology examination made on on a prepared blood film. All blood smears are examined in the first instance by a qualified haematologist and then, if certain criteria are met, also by a veterinary pathologist. For routine haematology we recommend the submission of whole blood taken into EDTA anticoagulant (or Lithium heparin for exotics or small samples that also require biochemistry) and a freshly prepared blood film made at the time of phlebotomy. The cell morphology of a freshly prepared smear is generally superior to that of a sample taken and stored in EDTA and assists our evaluation greatly (glass microscopy slides and slide holders are available from CTDS on request). For coagulation profiles, PT and or APTT submissions please submit a sample taken into sodium citrate also. Haematology and coagulation testing results are available the same day as sample receipt (Monday to Saturday).  More information at http://ctdslab.co.uk/services/haematology/

Histology

Histopathology samples should be submitted in 10% formalin – in secure screw topped pots. Pre filled pots are available from CTDS in 2 sizes, regular (pack of 10 containing 20ml of formalin) and large (pack of 5 containing 50ml formalin). Alternatively if you wish to prepare your own formalin pots concentrated formaldehyde (usually 40-50%), available cheaply from wholesalers, can be diluted 1 part with 9 parts tap water to produce 10% formalin. Histology is available from CTDS in conjunction with our group laboratory Bridge Pathology and results are usually available within 2 working days of sample receipt. More information http://ctdslab.co.uk/services/histopathology/

Microbiology

This is content

PCR

This is content

Serology

This is content

Toxicology

This is content

 

 

qrcode

QR tag this page with your smartphone