H&E Flashcards

1
Q

What is the difference between Hematin and hematein?

A

Hematein is the actual oxidized dye form of hematoxylin that stains nuclei

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2
Q

What is the difference between progressive and regressive staining?

A

Progressive staining stains up to the desired intensity and then the reaction is stopped

Regressive staining intentionally over-stains the tissue and then differentiates for the desired element

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3
Q

Steps in Progressive HandE

A
Xylene: removes paraffin
Alcohols: hydrate tissue
Tap water: removes alcohol
Hematoxylin (Mayer or acidified Harris): stains nuclei
Tap water: removes excess hematoxylin
Bluing agent: blues nuclei
Tap water: removes excess bluing
Eosin: stains cytoplasm
70% alcohol: dehydrates
95% alcohol: dehydrates
100% alcohol: dehydrates
Xylene: dehydrates
Coverslip: protects stained tissue
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4
Q

Steps in Regressive HandE

A
Xylene: removes paraffin
Alcohols: hydrate tissue
Tap water: removes alcohol
Hematoxylin (Delafield, Ehrlich, or Harris without acid): stains nuclei
Tap water: removes excess hematoxylin
1% HCl in 70% Alcohol: differentiation
Running water: wash
Bluing agent: blues nuclei
Tap water: removes excess bluing
Eosin: stains cytoplasm
70% alcohol: dehydrates
95% alcohol: dehydrates
100% alcohol: dehydrates
Xylene: dehydrates
Coverslip: protects stained tissue
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5
Q

What is a mordant?

A

Something that helps a dye bind to a tissue, usually a metal

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6
Q

Mordant and use for Ehrlich

A

Aluminum, regressive

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7
Q

Mordant and use for Delafield

A

Aluminum, regressive

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8
Q

Mordant and use for Harris

A

aluminum, progressive unless acetic acid is absent from the protocol

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9
Q

Mordant and use for Mayer

A

aluminum, progressive, no alcohol

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10
Q

Mordant and use for Gill

A

aluminum, progressive, mucin

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11
Q

Mordant and use for Weigert

A

Iron, not used for routine H&E, usually used in special stains

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12
Q

2 Examples of acidic dyes

A

Orange G, picric acid

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13
Q

2 Examples of basic dyes

A

crystal violet, safranin

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14
Q

Purpose of bluing agents

A

Helps increase the intensity of the nuclear blue stain

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15
Q

3 Examples of bluing agents

A

Lithium carbonate, ammonium hydroxide, or Scott solution (gentle alkaline)

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16
Q

How does pH affect routine HandE staining?

A

If bluing agent is carried over to the eosin it will raise the pH and cytoplasm will be poorly stained

17
Q

What cells stain darkest with eosin?

A

Erythrocytes (RBC’s)

18
Q

Incomplete deparaffinization

A

Splotchy staining, with pale or unstained areas

19
Q

Nuclear staining is not crisp

A

“smudgy staining” when chromatin is not clear/crisp
commonly due to incomplete fixation
too much heat during processing or drying out of slides

20
Q

Pale nuclear staining

A

Presence of iron, sulfur, or chlorine in the water before or after hematoxylin
too short hematoxylin step
over-oxidized or depleted hematoxylin
over-differentiating the hematoxylin

21
Q

Dark nuclear staining

A

Highly alkaline or hard tap water
too long in hematoxylin
sections are too thick
differentiation was too short

22
Q

Red or red-brown nuclei

A

over ripened/old hematoxylin

or improper bluing step (you can’t over-blue)

23
Q

Pale cytoplasmic staining

A

pH of Eosin is too high, usually due to carryover of bluing agent
or over-differentiated in low concentration alcohols

24
Q

Dark cytoplasmic staining

A

May be due to alkaline or hard tap water
make sure not to over stain or under-differentiate
section thickness

25
Eosin doesn't have 3 shades
Improperly differentiated | Check pH of Eosin
26
Blue black precipitate on sections
hematoxylin wasn't filtered
27
Hazy or milky water or slides
there is xylene in the water during dehydration
28
Uneven HandE staining
incomplete deparaffinization or thick and thin sectioning | equipment malfunction
29
poor contrast between nucleus and cytoplasm
Either of the stains is under or over-done
30
Opaque slides
not properly deparaffinized water in xylene causing cloudiness water in hydrating alcohols (front end) over diluted
31
Bead-like structures in the bottom of the 1st deparaffinizing Xylene
Water from the tissue if slides weren't properly dried in the oven moisture from the air alcohol contamination in the xylene
32
Washed out, dull nuclei
Overdecalcification Over differentiated hematoxylin Too short hematoxylin (progressive stain) Too short bluing (you can't over blue) The hematoxylin itself is either over or under oxidized