Here are the answers to your questions:
20. One importance of histopathology records is to:
- B. Maintain traceability and documentation
- Histopathology records are crucial for tracking specimens, patient information, and diagnostic findings, ensuring accountability and allowing for future reference and research.
21. State five purposes of fixation.
- To prevent autolysis (self-digestion) and putrefaction (bacterial decomposition).
- To preserve tissue morphology and cellular structures as close to their living state as possible.
- To harden tissues, making them easier to handle and cut.
- To protect tissues from damage during subsequent processing steps.
- To enhance staining reactions by altering tissue components.
22. Outline five effects of fixatives on tissue components.
- Coagulation of proteins: Many fixatives cause proteins to denature and coagulate, forming a meshwork that stabilizes the tissue.
- Cross-linking of proteins: Some fixatives, like formalin, form chemical bonds between protein molecules, strengthening the tissue structure.
- Inhibition of enzymes: Fixatives inactivate enzymes that would otherwise cause tissue degradation.
- Alteration of tissue permeability: Fixatives can change how easily other reagents penetrate the tissue.
- Shrinkage or swelling: Tissues may shrink or swell depending on the type of fixative and its concentration.
23. Mention five methods of decalcification.
- Acid decalcification: Using strong acids like nitric acid or hydrochloric acid.
- Chelating agents: Using agents like EDTA (ethylenediaminetetraacetic acid) to bind calcium ions.
- Ion exchange resins: Using resins to remove calcium ions from the decalcifying solution.
- Electrolytic decalcification: Using an electric current to accelerate calcium removal in an acidic solution.
- Surface decalcification: Applying a decalcifying agent to the surface of a block just before sectioning.
24. List the five stages of tissue processing.
- Fixation: Preserving tissue structure and preventing degradation.
- Dehydration: Removing water from the tissue using ascending concentrations of alcohol.
- Clearing: Removing the dehydrating agent and preparing the tissue for infiltration.
- Infiltration (Impregnation): Filling tissue spaces with an embedding medium, typically molten paraffin wax.
- Embedding (Casting): Orienting the infiltrated tissue in a mold and solidifying the embedding medium to form a block.
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